Failure of High-Dose Daptomycin for Bacteremia Caused by Daptomycin-Susceptible Enterococcus faecium Harboring LiaSR Substitutions

作者: JOSE MUNITA SEPULVEDA , Nagendra N Mishra , Danya Alvarez , Truc T Tran , Lorena Diaz

DOI: 10.1093/CID/CIU642

关键词:

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

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