Role of Therapeutic Drug Monitoring in the Treatment of Persistent <i>Mycobacterium abscessus</i> Central Nervous System Infection: A Case Report and Review of the Literature
En‐Ling Wu, Omar Al-Heeti, Brian M Hoff, Janna Williams, Karen Krueger, Phillip P. Santoiemma, Nathaniel J. Rhodes
Open Forum Infectious Diseases · 2022-07
Abstract
Abstract A patient presenting with recurrent ventriculoperitoneal shunt infection was found to have Mycobacterium abscessus growing from cerebrospinal fluid (CSF), which remained persistently positive. Therapeutic monitoring of clarithromycin, imipenem, and linezolid in CSF and plasma revealed lower than expected concentrations, prompting alternative therapy and culture clearance on hospital day 42.
MeSH terms
- Medicine
- Linezolid
- Clarithromycin
- Mycobacterium abscessus
- Cerebrospinal fluid
- Imipenem
- Antibiotics
- Shunt (medical)
- Therapeutic drug monitoring
- Intensive care medicine
- Internal medicine
- Mycobacterium
- Drug