Emergence of a teicoplanin-resistant small colony variant of Staphylococcus epidermidis during vancomycin therapy

Eur J Clin Microbiol Infect Dis. 2003 Dec;22(12):746-8. doi: 10.1007/s10096-003-1029-9. Epub 2003 Nov 6.

Abstract

Small colony variants of Staphylococcus aureus can cause persistent and recurrent infections. There are only a few reports of small colony variants of coagulase-negative staphylococci. Herein a case of infection with a teicoplanin-resistant small colony variant of Staphylococcus epidermidis is presented. The small colony variant was isolated from blood cultures of a patient with acute leukaemia and therapy-induced neutropenia who was treated with vancomycin for catheter-associated bloodstream infection. Despite removal of the catheter and adequate antibiotic therapy, the infection did not clear and the patient died 20 days after continuous antibiotic therapy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Blood / microbiology
  • Disease Progression
  • Drug Resistance, Bacterial
  • Fatal Outcome
  • Humans
  • Leukemia, Myeloid, Acute / diagnosis
  • Leukemia, Myeloid, Acute / drug therapy
  • Male
  • Microbial Sensitivity Tests
  • Neutropenia / drug therapy
  • Neutropenia / etiology
  • Risk Assessment
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / drug therapy*
  • Staphylococcus epidermidis / isolation & purification*
  • Teicoplanin / pharmacology*
  • Treatment Failure
  • Vancomycin / therapeutic use*

Substances

  • Teicoplanin
  • Vancomycin