2022
DOI: 10.3138/jammi-2021-0030
|View full text |Cite
|
Sign up to set email alerts
|

Infective endocarditis of a native aortic valve due to Pseudomonas aeruginosa complicated by progressive multi-drug resistance

Abstract: BACKGROUND: Treatment of infective endocarditis secondary to Pseudomonas aeruginosa can be challenging because of this organism’s ability to acquire antimicrobial resistance over time. METHODS: We describe a patient with native aortic valve infective endocarditis due to P. aeruginosa who developed progressive multi-drug resistance while on therapy. The resistance mechanisms were characterized using whole-genome sequencing. RESULTS: We identified two mutations in subsequent isolates ( dacB and OprD) that confer… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1

Citation Types

0
1
0

Year Published

2022
2022
2024
2024

Publication Types

Select...
2

Relationship

0
2

Authors

Journals

citations
Cited by 2 publications
(1 citation statement)
references
References 15 publications
0
1
0
Order By: Relevance
“…Beta-lactams have a slow bactericidal effect on Pseudomonas , with resistance to the drugs developing rapidly. Hence, the treatment of P. aeruginosa endocarditis usually necessitates the combination of antipseudomonal drugs like beta-lactams with aminoglycosides or carbapenems, such as imipenem and meropenem [ 11 ]. Successful treatment with antibiotics alone is rare, and adjunctive valvular surgery is indicated for the best chance of survival, especially in cases of refractory endocarditis, persistent bacteremia, or extensive destruction of the valve.…”
Section: Discussionmentioning
confidence: 99%
“…Beta-lactams have a slow bactericidal effect on Pseudomonas , with resistance to the drugs developing rapidly. Hence, the treatment of P. aeruginosa endocarditis usually necessitates the combination of antipseudomonal drugs like beta-lactams with aminoglycosides or carbapenems, such as imipenem and meropenem [ 11 ]. Successful treatment with antibiotics alone is rare, and adjunctive valvular surgery is indicated for the best chance of survival, especially in cases of refractory endocarditis, persistent bacteremia, or extensive destruction of the valve.…”
Section: Discussionmentioning
confidence: 99%