title: Recurrent infections caused by cefotaxime- and ciprofloxacin-resistant Salmonella enterica serotype choleraesuis treated successfully with imipenem.
abstract: We present a case of recurrent infection (infective spondilitis, psoas abscess, and bacteraemia) caused by a single strain of cefotaxime- and ciprofloxacin-resistant and bla(CMY-2)-containing Salmonella enterica serotype choleraesuis during a 4-month period in a patient with uremia. The patient was successfully treated with imipenem for 7 weeks. Our observation indicates that a carbapenem might be considered as a drug of choice for the treatment of infections caused by this emerging multi-resistant pathogen.
authors.affiliation: Department of Critical Care Medicine and Internal Medicine, Min-Sheng General Hospital, Taoyuan, Taiwan, ROC.
authors.forename: Shio-Shin
authors.initials: SS
authors.lastname: Jean
authors.forename: Yu-Tsang
authors.initials: YT
authors.lastname: Lee
authors.forename: Su-Mei
authors.initials: SM
authors.lastname: Guo
authors.forename: Po-Ren
authors.initials: PR
authors.lastname: Hsueh
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use*; D016470:Bacteremia / Q000188:drug therapy / Q000382:microbiology; D002439:Cefotaxime / Q000494:pharmacology*; D002939:Ciprofloxacin / Q000494:pharmacology*; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use*; D008875:Middle Aged; D016659:Psoas Abscess / Q000188:drug therapy / Q000382:microbiology; D012008:Recurrence; D012480:Salmonella Infections / Q000188:drug therapy / Q000382:microbiology; D019779:Salmonella enterica / Q000145:classification / Q000187:drug effects*; D013166:Spondylitis / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome; D014511:Uremia / Q000188:drug therapy* / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin; D015378:Imipenem; D002439:Cefotaxime