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dc.contributor.author
Perazzi, Beatriz
dc.contributor.author
Bello, Natalia
dc.contributor.author
Mollerach, Marta Eugenia
dc.contributor.author
Vay, Carlos
dc.contributor.author
Lasala, María Beatriz
dc.contributor.author
Famiglietti, Angela
dc.date.available
2017-02-13T15:51:10Z
dc.date.issued
2011-07
dc.identifier.citation
Perazzi, Beatriz; Bello, Natalia; Mollerach, Marta Eugenia; Vay, Carlos; Lasala, María Beatriz; et al.; Endocarditis caused by methicillin-susceptible Staphylococcus aureus with reduced susceptibility to vancomycin: a case report; BioMed Central Home; Journal of Medical Case Reports; 5; 7-2011; 292-298
dc.identifier.issn
1752-1947
dc.identifier.uri
http://hdl.handle.net/11336/12906
dc.description.abstract
Staphylococcus aureus is the most common cause of acute infective endocarditis.
Recent reports have described heteroresistance to vancomycin associated with methicillin-resistant Staphylococcus aureus. We present the first case report in Argentina of the failure of treatment with vancomycin in endocarditis caused by methicillin-susceptible Staphylococcus aureus containing subpopulations with reduced susceptibility to vancomycin.
Case presentation: We report the case of a 66-year-old Hispanic man with infective endocarditis complicated by septic emboli in the lumbosacral spine and the left iliopsoas muscle. This disease was caused by methicillin susceptible
Staphylococcus aureus containing subpopulations with reduced susceptibility to vancomycin. He was initially treated with cephalothin and gentamicin but developed a rash caused by beta-lactams and interstitial nephritis. For that reason, the treatment was subsequently switched to vancomycin but he failed to respond. The
infection resolved after administration of vancomycin in combination with gentamicin and rifampin.
Conclusion: Our case report provides important evidence for the existence of subpopulations of methicillin susceptible Staphylococcus aureus that have reduced susceptibility to vancomycin which would account for treatment failure. Our case raises an alert about the existence of these strains and highlights the need to
determine the vancomycin minimum inhibitory concentration of Staphylococcus aureus to screen for the presence of strains that have reduced vancomycin susceptibility at different infection sites.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central Home
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Staphylococcus Aureus
dc.subject
Vancomicina
dc.subject.classification
Enfermedades Infecciosas
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Endocarditis caused by methicillin-susceptible Staphylococcus aureus with reduced susceptibility to vancomycin: a case report
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2017-02-09T18:23:34Z
dc.journal.volume
5
dc.journal.pagination
292-298
dc.journal.pais
Australia
dc.journal.ciudad
Adelaide
dc.description.fil
Fil: Perazzi, Beatriz. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina
dc.description.fil
Fil: Bello, Natalia. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina
dc.description.fil
Fil: Mollerach, Marta Eugenia. Universidad de Buenos Aires. Facultad de Farmacia y Bioquímica; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay; Argentina
dc.description.fil
Fil: Vay, Carlos. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina
dc.description.fil
Fil: Lasala, María Beatriz. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina
dc.description.fil
Fil: Famiglietti, Angela. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina
dc.journal.title
Journal of Medical Case Reports
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://jmedicalcasereports.biomedcentral.com/articles/10.1186/1752-1947-5-292
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3152525/
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/1752-1947-5-292
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