| Literature DB >> 31611360 |
Floor van Wijk1,2, Jérôme Waterval3,4, Koen van Aerde1, Stefanie S V Henriet1, F J Anton Meijer5, Lennaert C Borra6, Rob E Aarnoutse6, Jakko van Ingen7.
Abstract
Mycobacterium abscessus is an extensively drug-resistant opportunistic pathogen that can cause chronic otomastoiditis. There are no evidence-based treatment regimens for this severe infection. We treated four children with M. abscessus otomastoiditis with a structured regimen of topical imipenem and tigecycline, intravenous imipenem and tigecycline, and oral clofazimine and azithromycin and adjunctive surgery. This structured approach led to cure, with 1 year of follow-up after treatment. Adverse events were frequent, mostly caused by tigecycline.Entities:
Keywords: Mycobacteriumzzm321990; Mycobacterium abscessuszzm321990; clofazimine; experimental therapeutics; mastoiditis; otitis; otitis media; pediatric drug therapy; tigecycline
Year: 2019 PMID: 31611360 PMCID: PMC7187624 DOI: 10.1128/AAC.01203-19
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191