Persistent Methicillin-Susceptible Bacteremia Rapidly Cleared with Cefazolin and Ertapenem Combination Therapy in a Patient with COVID-19

Methicillin-susceptible Staphylococcus aureus (MSSA) bloodstream infections (BSIs) are associated with significant morbidity and mortality. MSSA BSIs can rapidly disseminate, resulting in deep-seated infections, prolonged durations of bacteremia, and further metastases. Recently, cefazolin and ertap...

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Main Authors: Dan Ilges, Gayathri Krishnan, Elvin Geng
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2022/6828538
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author Dan Ilges
Gayathri Krishnan
Elvin Geng
author_facet Dan Ilges
Gayathri Krishnan
Elvin Geng
author_sort Dan Ilges
collection DOAJ
description Methicillin-susceptible Staphylococcus aureus (MSSA) bloodstream infections (BSIs) are associated with significant morbidity and mortality. MSSA BSIs can rapidly disseminate, resulting in deep-seated infections, prolonged durations of bacteremia, and further metastases. Recently, cefazolin and ertapenem combination therapy has emerged as a potential therapeutic strategy to sterilize the blood in patients with persistent MSSA bacteremia. Here, we present a patient with COVID-19 pneumonia and concomitant MSSA BSI achieving blood culture sterilization within 24 hours of cefazolin and ertapenem combination therapy initiation following 11 days of positive blood cultures.
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series Case Reports in Infectious Diseases
spelling doaj-art-63df4d3f9ee74d2aa3f58602702402122025-08-20T02:35:16ZengWileyCase Reports in Infectious Diseases2090-66332022-01-01202210.1155/2022/6828538Persistent Methicillin-Susceptible Bacteremia Rapidly Cleared with Cefazolin and Ertapenem Combination Therapy in a Patient with COVID-19Dan Ilges0Gayathri Krishnan1Elvin Geng2Mayo Clinic HospitalWashington University School of MedicineWashington University School of MedicineMethicillin-susceptible Staphylococcus aureus (MSSA) bloodstream infections (BSIs) are associated with significant morbidity and mortality. MSSA BSIs can rapidly disseminate, resulting in deep-seated infections, prolonged durations of bacteremia, and further metastases. Recently, cefazolin and ertapenem combination therapy has emerged as a potential therapeutic strategy to sterilize the blood in patients with persistent MSSA bacteremia. Here, we present a patient with COVID-19 pneumonia and concomitant MSSA BSI achieving blood culture sterilization within 24 hours of cefazolin and ertapenem combination therapy initiation following 11 days of positive blood cultures.http://dx.doi.org/10.1155/2022/6828538
spellingShingle Dan Ilges
Gayathri Krishnan
Elvin Geng
Persistent Methicillin-Susceptible Bacteremia Rapidly Cleared with Cefazolin and Ertapenem Combination Therapy in a Patient with COVID-19
Case Reports in Infectious Diseases
title Persistent Methicillin-Susceptible Bacteremia Rapidly Cleared with Cefazolin and Ertapenem Combination Therapy in a Patient with COVID-19
title_full Persistent Methicillin-Susceptible Bacteremia Rapidly Cleared with Cefazolin and Ertapenem Combination Therapy in a Patient with COVID-19
title_fullStr Persistent Methicillin-Susceptible Bacteremia Rapidly Cleared with Cefazolin and Ertapenem Combination Therapy in a Patient with COVID-19
title_full_unstemmed Persistent Methicillin-Susceptible Bacteremia Rapidly Cleared with Cefazolin and Ertapenem Combination Therapy in a Patient with COVID-19
title_short Persistent Methicillin-Susceptible Bacteremia Rapidly Cleared with Cefazolin and Ertapenem Combination Therapy in a Patient with COVID-19
title_sort persistent methicillin susceptible bacteremia rapidly cleared with cefazolin and ertapenem combination therapy in a patient with covid 19
url http://dx.doi.org/10.1155/2022/6828538
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