First Report of a Case of Pneumococcal Meningitis Which Did Not Respond to the Ceftriaxone Therapy despite the Isolated Organism Being Sensitive to This Antibiotic In Vitro

A 60-year-old man presented with pneumococcal meningitis which did not respond to the ceftriaxone therapy, in spite of in-vitro susceptibility (minimal inhibitory concentration of 0.016 μg/dLit) of the isolated organism to this antibacterial agent, although ceftriaxone is still the drug of choice fo...

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Main Authors: Maryam Mojtabavi, Hamid Reza Naderi, Ashraf Tavanaee Sani, Mahmood Bagheri, Kiarash Ghazvini
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2011/485952
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author Maryam Mojtabavi
Hamid Reza Naderi
Ashraf Tavanaee Sani
Mahmood Bagheri
Kiarash Ghazvini
author_facet Maryam Mojtabavi
Hamid Reza Naderi
Ashraf Tavanaee Sani
Mahmood Bagheri
Kiarash Ghazvini
author_sort Maryam Mojtabavi
collection DOAJ
description A 60-year-old man presented with pneumococcal meningitis which did not respond to the ceftriaxone therapy, in spite of in-vitro susceptibility (minimal inhibitory concentration of 0.016 μg/dLit) of the isolated organism to this antibacterial agent, although ceftriaxone is still the drug of choice for such pneumococcal meningitis. Review of published articles revealed no report of clinical resistance in organisms which were susceptible to the same antimicrobial agent in vitro. This alarming emergence of isolates with in vivo resistance should be considered and even could lead to a shift in the empirical antibiotic therapy for pneumococcal infections.
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publishDate 2011-01-01
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record_format Article
series Case Reports in Pulmonology
spelling doaj-art-6e7c385b849b459f942b0944b60c72282025-02-03T05:51:04ZengWileyCase Reports in Pulmonology2090-68462090-68542011-01-01201110.1155/2011/485952485952First Report of a Case of Pneumococcal Meningitis Which Did Not Respond to the Ceftriaxone Therapy despite the Isolated Organism Being Sensitive to This Antibiotic In VitroMaryam Mojtabavi0Hamid Reza Naderi1Ashraf Tavanaee Sani2Mahmood Bagheri3Kiarash Ghazvini4Department of infectious disease, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of infectious disease, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of infectious disease, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of infectious disease, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranMicrobiology and Virology Research Center, Ghaem University Hospital and Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 9188974645, IranA 60-year-old man presented with pneumococcal meningitis which did not respond to the ceftriaxone therapy, in spite of in-vitro susceptibility (minimal inhibitory concentration of 0.016 μg/dLit) of the isolated organism to this antibacterial agent, although ceftriaxone is still the drug of choice for such pneumococcal meningitis. Review of published articles revealed no report of clinical resistance in organisms which were susceptible to the same antimicrobial agent in vitro. This alarming emergence of isolates with in vivo resistance should be considered and even could lead to a shift in the empirical antibiotic therapy for pneumococcal infections.http://dx.doi.org/10.1155/2011/485952
spellingShingle Maryam Mojtabavi
Hamid Reza Naderi
Ashraf Tavanaee Sani
Mahmood Bagheri
Kiarash Ghazvini
First Report of a Case of Pneumococcal Meningitis Which Did Not Respond to the Ceftriaxone Therapy despite the Isolated Organism Being Sensitive to This Antibiotic In Vitro
Case Reports in Pulmonology
title First Report of a Case of Pneumococcal Meningitis Which Did Not Respond to the Ceftriaxone Therapy despite the Isolated Organism Being Sensitive to This Antibiotic In Vitro
title_full First Report of a Case of Pneumococcal Meningitis Which Did Not Respond to the Ceftriaxone Therapy despite the Isolated Organism Being Sensitive to This Antibiotic In Vitro
title_fullStr First Report of a Case of Pneumococcal Meningitis Which Did Not Respond to the Ceftriaxone Therapy despite the Isolated Organism Being Sensitive to This Antibiotic In Vitro
title_full_unstemmed First Report of a Case of Pneumococcal Meningitis Which Did Not Respond to the Ceftriaxone Therapy despite the Isolated Organism Being Sensitive to This Antibiotic In Vitro
title_short First Report of a Case of Pneumococcal Meningitis Which Did Not Respond to the Ceftriaxone Therapy despite the Isolated Organism Being Sensitive to This Antibiotic In Vitro
title_sort first report of a case of pneumococcal meningitis which did not respond to the ceftriaxone therapy despite the isolated organism being sensitive to this antibiotic in vitro
url http://dx.doi.org/10.1155/2011/485952
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