Salvage therapy with tigecycline for recurrent infection caused by ertapenem-resistant extended-spectrum β-lactamase-producing Klebsiella pneumoniae

Po Lin Chen, Jing Jou Yan, Chi Jung Wu, Hsin Chun Lee, Chia Ming Chang, Nan Yao Lee, Nai Ying Ko, Li Rong Wang, Hsin I. Shih, Ching Chi Lee, Wen Chien Ko

研究成果: Article同行評審

13 引文 斯高帕斯(Scopus)

摘要

Optimal antimicrobial therapy for infections due to ertapenem-resistant Enterobacteriaceae remains undetermined. In this study, a diabetic patient with recurrent pyomyositis and osteomyelitis caused by extended-spectrum β-lactamase (ESBL)-producing Klebsiella pneumoniae developed ertapenem resistance after imipenem/cilastatin treatment, which was a currently recommended therapy. He was finally treated successfully using tigecycline. Ertapenem resistance was in part explained by the production of SHV-type ESBL and the absence of an outer membrane protein, OmpK36. Our observation suggests that tigecycline may be an alternative for invasive infections caused by ESBL-producing Enterobacteriaceae with decreased susceptibility to carbapenem.

原文English
頁(從 - 到)312-314
頁數3
期刊Diagnostic Microbiology and Infectious Disease
68
發行號3
DOIs
出版狀態Published - 2010 11月

All Science Journal Classification (ASJC) codes

  • 微生物學(醫學)
  • 傳染性疾病

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