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Failure of high-dose daptomycin for bacteremia caused by daptomycin-susceptible enterococcus faecium harboring liasr substitutions

  • Jose M. Munita
  • , Nagendra N. Mishra
  • , Danya Alvarez
  • , Truc T. Tran
  • , Lorena Diaz
  • , Diana Panesso
  • , Jinnethe Reyes
  • , Barbara E. Murray
  • , Javier A. Adachi
  • , Arnold S. Bayer
  • , Cesar A. Arias

Research output: Contribution to journalArticlepeer-review

56 Scopus citations

Abstract

High-dose daptomycin (DAP) therapy failed in a neutropenic patient with bloodstream infection caused by a DAP-susceptible Enterococcus faecium (minimum inhibitory concentration, 3 μg/mL) harboring genetic changes associated with DAP resistance, with persistent bacteremia and selection of additional resistances. Daptomycin monotherapy should be used cautiously against DAP-susceptible E. faecium strains with minimum inhibitory concentrations 2 g/mL.

Original languageEnglish
Pages (from-to)1277-1280
Number of pages4
JournalClinical Infectious Diseases
Volume59
Issue number9
DOIs
StatePublished - 01 Nov 2014
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Daptomycin
  • Enterococcus faecium
  • resistance
  • treatment failure

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