Clinical failure of vancomycin in a dialysis patient with methicillin-susceptible vancomycin-heteroresistant S. aureus.

TitleClinical failure of vancomycin in a dialysis patient with methicillin-susceptible vancomycin-heteroresistant S. aureus.
Publication TypeJournal Article
Year of Publication2009
AuthorsFusco DN, Alexander EL, Weisenberg SA, Mediavilla JR, Kreiswirth BN, Schuetz AN, Jenkins SG, Rhee KY
JournalDiagn Microbiol Infect Dis
Volume65
Issue2
Pagination180-3
Date Published2009 Oct
ISSN1879-0070
KeywordsAnimals, Anti-Bacterial Agents, Bacteremia, Female, Humans, Methicillin, Middle Aged, Renal Dialysis, Staphylococcal Infections, Staphylococcus aureus, Treatment Failure, Vancomycin, Vancomycin Resistance
Abstract

We report a case of recurrent Staphylococcus aureus bacteremia in a patient who failed vancomycin due to a vancomycin-heteroresistant strain lacking methicillin resistance. Although initial isolates were susceptible, isolates obtained after vancomycin chemotherapy were vancomycin heteroresistant. This case thus illustrates the clinical emergence of vancomycin heteroresistance.

DOI10.1016/j.diagmicrobio.2009.05.017
Alternate JournalDiagn Microbiol Infect Dis
PubMed ID19748429
PubMed Central IDPMC5227555
Grant ListT32 AI007613 / AI / NIAID NIH HHS / United States
AI 007613 / AI / NIAID NIH HHS / United States