title: Linezolid is a novel and effective treatment for septic pulmonary embolism.
abstract: Septic pulmonary embolism (SPE) is an uncommon and severe infectious disease that requires early diagnosis and proper antibiotic therapy. We present the case of a healthy 14-year-old girl with a history of atopic dermatitis, who developed SPE caused by Staphylococcus aureus bacteremia. We initially administered intravenous doripenem and vancomycin. Four days after her admission, blood and urine cultures yielded penicillinase nonproducing, methicillin-sensitive S aureus, with a minimum inhibitory concentration less than 0.06 μg/mL. However,the administration of penicillin G aggravated her condition; therefore, treatment was switched to linezolid on day 8. Her condition subsequently resolved, and she was discharged 40 days after admission without any complications. To our knowledge, this is the first report regarding the efficacy of linezolid for SPE that is related to community-acquired methicillin-sensitive S aureus bacteremia. The favorable lung tissue transfer of linezolid may have contributed to its efficacy against the SPE.
authors: Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1 Jonan Hitachi, Ibaraki 317-0077, Japan. Electronic address: kakemaki729@yahoo.co.jp.
authors: Maki
authors: M
authors: Yasuda
authors: Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1 Jonan Hitachi, Ibaraki 317-0077, Japan; Department of Emergency and Critical Care Medicine, University Hospital, The University of Tokyo Hospital, 7-3-1 Hongo Bunkyo, Tokyo 113-8655, Japan; Department of Emergency Medicine, JR General Hospital, 2-1-3 Yoyogi, Shibuya-ku, Tokyo 151-8528, Japan.
authors: Ryota
authors: R
authors: Inokuchi
authors: Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1 Jonan Hitachi, Ibaraki 317-0077, Japan.
authors: Kazuma
authors: K
authors: Ohshima
authors: Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1 Jonan Hitachi, Ibaraki 317-0077, Japan.
authors: Miyuki
authors: M
authors: Yamamoto
authors: Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1 Jonan Hitachi, Ibaraki 317-0077, Japan.
authors: Kurato
authors: K
authors: Tokunaga
authors: Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1 Jonan Hitachi, Ibaraki 317-0077, Japan; Department of Emergency and Critical Care Medicine, University Hospital, The University of Tokyo Hospital, 7-3-1 Hongo Bunkyo, Tokyo 113-8655, Japan.
authors: Tatsuma
authors: T
authors: Fukuda
authors: Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1 Jonan Hitachi, Ibaraki 317-0077, Japan; Department of Emergency and Critical Care Medicine, University Hospital, The University of Tokyo Hospital, 7-3-1 Hongo Bunkyo, Tokyo 113-8655, Japan.
authors: Kensuke
authors: K
authors: Nakamura
mesh_terms: D000081:Acetamides / Q000627:therapeutic use*; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D016470:Bacteremia / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D005260:Female; D006801:Humans; D000069349:Linezolid; D023303:Oxazolidinones / Q000627:therapeutic use*; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D000081:Acetamides; D000900:Anti-Bacterial Agents; D023303:Oxazolidinones; D000069349:Linezolid