Abstract
A 25-year-old female was admitted to our intensive care unit with septic shock and multiorgan failure caused by extended-spectrum beta-lactamase-producing Escherichia coli originating from the right renal pelvis. A 16-day course of treatment with meropenem reversed the septic condition, but the infection recurred thereafter. The patient recovered fully after therapy was changed to tigecycline.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use*
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Escherichia coli / drug effects*
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Escherichia coli / isolation & purification
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Escherichia coli Infections / drug therapy*
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Escherichia coli Infections / microbiology
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Female
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Humans
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Meropenem
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Minocycline / analogs & derivatives*
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Minocycline / therapeutic use
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Recurrence
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Shock, Septic / drug therapy*
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Shock, Septic / microbiology
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Thienamycins / therapeutic use
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Tigecycline
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Urinary Tract Infections / complications
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Urinary Tract Infections / drug therapy*
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Urinary Tract Infections / microbiology
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beta-Lactam Resistance*
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beta-Lactamases / biosynthesis
Substances
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Anti-Bacterial Agents
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Thienamycins
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Tigecycline
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beta-Lactamases
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Meropenem
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Minocycline