1. Carbapenem resistant Campylobacter jejuni bacteremia in a Bruton’s X-linked agammaglobulinemia patient
- Author
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Zhuo, Ran, Younes, Ramee L, Ward, Kevin, and Yang, Shangxin
- Subjects
Biological Sciences ,Biomedical and Clinical Sciences ,Microbiology ,Clinical Sciences ,Medical Microbiology ,Infectious Diseases ,Antimicrobial Resistance ,Sepsis ,Biodefense ,Digestive Diseases ,Emerging Infectious Diseases ,Hematology ,Genetics ,2.2 Factors relating to the physical environment ,Infection ,Carbapenem resistance ,Campylobacter jejuni ,OXA-61 ,Gene duplication ,Porin mutation ,Recurrent bloodstream infections ,Medical and Health Sciences ,Medical microbiology - Abstract
Immunocompromised patients are prone to recurrent Campylobacter infections. We report a case of recurrent multi-drug resistant Campylobactor jejuni bloodstream infections in a Bruton's X-linked agammaglobulinemia patient with prolonged ertapenem treatment. The isolate from the fifth recurrence developed carbapenem resistance, which is associated with mutations in a porin gene porA, and promoter changes and duplication of chromosomal blaOXA-61 gene. Combination therapy using cefepime and doxycycline (later switched to moxifloxacin) cleared the infection.
- Published
- 2024