Bacteremic pneumonia due to multidrug-resistant pneumococci in 3 patients treated unsuccessfully with azithromycin and successfully with levofloxacin.
case_report · Level V
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Abstract
Three patients with bacteremic pneumonia caused by multidrug-resistant Streptococcus pneumoniae were treated unsuccessfully with azithromycin. One S. pneumoniae isolate carried a mef determinant for an efflux pump; a second isolate had an erm determinant. All 3 patients were successfully treated with levofloxacin, an antipneumococcal fluoroquinolone.
Medical subject headings
- Anti-Infective Agents
- Bacteremia
- Levofloxacin
- Ofloxacin
- Pneumonia, Pneumococcal
- Streptococcus pneumoniae