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Bacteremia and infective endocarditis caused by a non-daptomycin-susceptible, vancomycin-intermediate, and methicillin-resistant Staphylococcus aureus strain in Taiwan
Authors:Huang Yu-Tsung  Hsiao Cheng-Hsiang  Liao Chun-Hsing  Lee Chung-Wei  Hsueh Po-Ren
Affiliation:Department of Internal Medicine, Far Eastern Memorial Hospital, Taipei County, Taiwan,1 Departments of Internal Medicine,2 Pathology,3 Radiology,4 Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan5
Abstract:We describe the development of nonsusceptibility to daptomycin and vancomycin during treatment for methicillin-resistant Staphylococcus aureus (MRSA) bacteremia associated with infective endocarditis and probable septic thrombophlebitis in a uremic patient. MRSA bacteremia persisted during glycopeptide and subsequent daptomycin treatment but cleared after 5 days' treatment with linezolid and fusidic acid.
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