Abstract
We describe a patient who developed Corynebacterium striatum native valve endocarditis after receiving two 6-week courses of daptomycin for the treatment of methicillin-resistant Staphylococcus aureus bacteremia and osteomyelitis. The organism exhibited in vitro heteroresistance to daptomycin, with two subpopulations showing daptomycin susceptibility (MIC of <0.094 ≤g/ml) and high-level resistance to daptomycin (MIC of>256 ≥g/ml). The selection of daptomycin-resistant Gram-positive skin flora with the potential of causing invasive disease may be a concern during prolonged courses of daptomycin.
Original language | English (US) |
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Pages (from-to) | 3461-3464 |
Number of pages | 4 |
Journal | Antimicrobial Agents and Chemotherapy |
Volume | 56 |
Issue number | 6 |
DOIs | |
State | Published - Jun 2012 |
ASJC Scopus subject areas
- Pharmacology
- Pharmacology (medical)
- Infectious Diseases