1. Case Report: Carbapenemase-Producing Enterobacteriaceae in an Asylum Seeker with Multidrug-Resistant Tuberculosis.
- Author
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Ravensbergen SJ, Louka C, Lokate M, Bathoorn E, Pournaras S, van der Werf TS, de Lange WCM, Stienstra Y, and Akkerman OW
- Subjects
- Adult, Amikacin therapeutic use, Carbapenem-Resistant Enterobacteriaceae pathogenicity, Clofazimine therapeutic use, Drug Monitoring methods, Humans, Linezolid therapeutic use, Male, Moxifloxacin therapeutic use, Netherlands, Prevalence, Prothionamide therapeutic use, Trimethoprim, Sulfamethoxazole Drug Combination therapeutic use, Carbapenem-Resistant Enterobacteriaceae drug effects, Refugees, Tuberculosis, Multidrug-Resistant microbiology
- Abstract
A Syrian asylum seeker with multidrug-resistant tuberculosis (TB) developed a bronchopleural fistula after pneumonectomy. Although screening tests were negative on admission, carbapenemase-producing Enterobacteriaceae were cultured after a few months of TB treatment. Prevalence of multidrug-resistant organisms is reported to be increased in asylum seekers compared with the general Dutch population. Arduous conditions during transit and interrupted health care delivery in our patient led to multiple-resistant microorganisms that complicated treatment.
- Published
- 2018
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