Role of Therapeutic Drug Monitoring in the Treatment of Persistent Mycobacterium abscessus Central Nervous System Infection: A Case Report and Review of the Literature

Abstract A patient presenting with recurrent ventriculoperitoneal shunt infection was found to have Mycobacterium abscessus growing from cerebrospinal fluid (CSF), which remained persistently positive. Therapeutic monitoring of clarithromycin, imipenem, and linezolid in CSF and plasma revealed lower...

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Published in:Open forum infectious diseases 2022-08, Vol.9 (8), p.ofac392
Main Authors: Wu, En-Ling, Al-Heeti, Omar, Hoff, Brian M, Williams, Janna L, Krueger, Karen M, Santoiemma, Phillip P, Rhodes, Nathaniel J
Format: Article
Language:English
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Brief Report
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Summary:Abstract A patient presenting with recurrent ventriculoperitoneal shunt infection was found to have Mycobacterium abscessus growing from cerebrospinal fluid (CSF), which remained persistently positive. Therapeutic monitoring of clarithromycin, imipenem, and linezolid in CSF and plasma revealed lower than expected concentrations, prompting alternative therapy and culture clearance on hospital day 42.
ISSN:2328-8957
2328-8957
DOI:10.1093/ofid/ofac392