Source:http://linkedlifedata.com/resource/pubmed/id/12884162
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2003-7-28
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pubmed:abstractText |
We describe 4 patients infected with levofloxacin-resistant pneumococci after therapy for community-acquired pneumonia (CAP). The 4 patients had 15 episodes of CAP; Streptococcus pneumoniae was isolated from blood or sputum samples obtained during 14 of the episodes. The underlying medical condition was Bruton agammaglobulinemia in 3 patients and chronic lymphoid leukemia in the other. The initial episode of CAP in each patient was due to a levofloxacin-susceptible strain. One of 4 reinfections and 5 of 6 relapses were due to levofloxacin-resistant strains. All of these strains had amino acid substitutions in the quinolone-resistance-determining region of the genes parC and gyrA. The time between episodes of pneumonia varied from 1 to 4 months. In immunocompromised patients with suspected or proven pneumococcal infection, it may be prudent not to use fluoroquinolone monotherapy empirically when the patient has a history of fluoroquinolone therapy in at least the past 4 months.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
1537-6591
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:day |
1
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
376-81
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:12884162-Adult,
pubmed-meshheading:12884162-Anti-Infective Agents,
pubmed-meshheading:12884162-Community-Acquired Infections,
pubmed-meshheading:12884162-Drug Resistance, Microbial,
pubmed-meshheading:12884162-Humans,
pubmed-meshheading:12884162-Immunocompromised Host,
pubmed-meshheading:12884162-Male,
pubmed-meshheading:12884162-Microbial Sensitivity Tests,
pubmed-meshheading:12884162-Ofloxacin,
pubmed-meshheading:12884162-Pneumococcal Infections,
pubmed-meshheading:12884162-Pneumonia, Pneumococcal,
pubmed-meshheading:12884162-Streptococcus pneumoniae
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pubmed:year |
2003
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pubmed:articleTitle |
Emergence of levofloxacin-resistant pneumococci in immunocompromised adults after therapy for community-acquired pneumonia.
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pubmed:affiliation |
Summa Health System, Akron, Ohio 44304, USA.
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pubmed:publicationType |
Journal Article,
Case Reports
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