Case Report: Successful Rescue Therapy of Extensively Drug-Resistant Acinetobacter baumannii Osteomyelitis With Cefiderocol

Author:

Dagher Michael1,Ruffin Felicia1,Marshall Steven2345,Taracila Magdalena2345,Bonomo Robert A2345,Reilly Rachel6,Fowler Vance G1,Thaden Joshua T1

Affiliation:

1. Division of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA

2. Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA

3. Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

4. Departments of Pharmacology, Molecular Biology and Microbiology, Biochemistry, and Proteomics and Bioinformatics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

5. United States of America CWRU-Cleveland VAMC Center for Antimicrobial Resistance and Epidemiology (Case VA CARES), Cleveland, Ohio, USA

6. Department of Orthopedic Surgery, Duke University School of Medicine, Durham, North Carolina, USA

Abstract

Abstract Cefiderocol is a novel catechol siderophore cephalosporin antibiotic developed to treat resistant gram-negative infections. We describe its successful use as rescue therapy, combined with surgical debridement, to treat a patient with osteomyelitis due to extensively drug-resistant Acinetobacter baumannii. Bacterial whole-genome sequencing identified the strain and antibiotic resistance determinants.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

Reference26 articles.

1. Siderophore cephalosporin cefiderocol utilizes ferric iron transporter systems for antibacterial activity against Pseudomonas aeruginosa;Ito;Antimicrob Agents Chemother,2016

2. Activity of the novel siderophore cephalosporin cefiderocol against multidrug-resistant gram-negative pathogens;Dobias;Eur J Clin Microbiol Infect Dis,2017

3. Successful treatment with cefiderocol for compassionate use in a critically ill patient with XDR Acinetobacter baumannii and KPC-producing Klebsiella pneumoniae: a case report;Trecarichi;J Antimicrob Chemother,2019

4. Improvements to PATRIC, the all-bacterial bioinformatics database and analysis resource center;Wattam;Nucleic Acids Res,2017

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