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Infectious Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5265
ISSN (Online): 2212-3989

Case Studies

ESBL E coli and P. aeruginosa Resistance to Ceftolozane-Tazobactam in a Patient with a Liver Abscess. The Search for an Omnipotent Antibiotic Goes On!

Author(s): Mohamed Teleb, Enrique Soto-Ruiz, Delfina C. Dominguez and Suresh Antony*

Volume 18, Issue 1, 2018

Page: [81 - 85] Pages: 5

DOI: 10.2174/1871526516666160713163238

Price: $65

Abstract

Multi drug resistant (MDR) Pseudomonas aeruginosa and Extended- Spectrum-lactamase (ESBL) Enterobacteriaceae are becoming an increasing difficult clinical problem. Immediate resistance to some of the new antimicrobials such as ceftolozane/tazobactam is unusual and is due to a variety of mechanisms such as hyper-production of inactivating enzymes and gene mutation. In addition, previous antimicrobial administration is a well-recognized risk factor to develop resistance. We present a patient with a liver abscess where the organism was resistant to ceftolozane/tazobactam resulting in a poor clinical outcome.

Keywords: Ceftolozane/Tazobactam, ESBL, gram negative bacteria, mutation, pseudomonas, resistance.

Graphical Abstract

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