Endocarditis due to Pseudomonas aeruginosa in a heroin addict. Successful treatment with trimethoprim-Sulfamethoxazole mixture plus colistin

Endocarditis of the tricuspid valve due to Pseudomonas aeruginosa in a heroin addict failed to respond to therapy with gentamicin, carbenicillin, and amikacin. Clinical and bacteriologic cure was achieved with oral administration of a trimethoprim-sulfamethoxazole mixture plus parenteral therapy wit...

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Veröffentlicht in:Chest 1977-12, Vol.72 (6), p.794
Hauptverfasser: Yoshikawa, T T, Bayer, A S, Guze, L B
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container_title Chest
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creator Yoshikawa, T T
Bayer, A S
Guze, L B
description Endocarditis of the tricuspid valve due to Pseudomonas aeruginosa in a heroin addict failed to respond to therapy with gentamicin, carbenicillin, and amikacin. Clinical and bacteriologic cure was achieved with oral administration of a trimethoprim-sulfamethoxazole mixture plus parenteral therapy with colistin. In vitro synergism was demonstrated for the three drugs at concentrations achievable in the serum. Therapy for endocarditis due to Pseudomonas continues to be a major problem; however, the successful treatment of this patient warrants consideration for instituting therapy with a trimethoprim-sulfamethoxazole misture plus colistin in individuals with this infection who fail to respond to standard therapeutic regimens for severe infections with Pseudomonas.
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language eng
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source MEDLINE; Alma/SFX Local Collection
subjects Adult
Colistin - therapeutic use
Drug Combinations
Endocarditis, Bacterial - drug therapy
Endocarditis, Bacterial - etiology
Heart Valve Diseases - drug therapy
Heart Valve Diseases - etiology
Heroin Dependence - complications
Humans
Male
Pseudomonas Infections - drug therapy
Pseudomonas Infections - etiology
Sulfamethoxazole - therapeutic use
Tricuspid Valve
Trimethoprim - therapeutic use
title Endocarditis due to Pseudomonas aeruginosa in a heroin addict. Successful treatment with trimethoprim-Sulfamethoxazole mixture plus colistin
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