| Literature DB >> 31871075 |
Zain I Alamarat1, Jessica Babic2, Truc T Tran3,4, Susan H Wootton1, An Q Dinh3,4, William R Miller3,4,5, Blake Hanson3,4,5, Audrey Wanger6, Joshua L Gary7, Cesar A Arias3,4,5,8,9, Norma Pérez10.
Abstract
We report a 15 year-old Nigerian adolescent male with chronic osteomyelitis caused by an extensively drug-resistant (XDR) Pseudomonas aeruginosa strain of sequence type 773 (ST773) carrying bla NDM-1 and an extended spectrum β-lactamase (ESBL)-producing Klebsiella pneumoniae strain. The patient developed neurological side effects in the form of circumoral paresthesia with polymyxin B and asymptomatic elevation of transaminases with aztreonam (used in combination with ceftazidime-avibactam). Cefiderocol treatment for 14 weeks plus bone implantation resulted in apparent cure and avoided amputation.Entities:
Keywords: ESBL-producing Klebsiella pneumoniae; XDR Pseudomonas aeruginosa; cefiderocol; chronic osteomyelitis; pediatric
Year: 2020 PMID: 31871075 PMCID: PMC7179260 DOI: 10.1128/AAC.01872-19
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191