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題名 | Successful Treatment of Methicillin-Resistant Staphylococus Aureus Meningitis with Linezolid in Catheter-Related Bacteremia in a Hemodialysis Patient=血液透析病患導管相關菌血症併發MRSA腦膜炎,成功以Linezolid治療 |
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作者 | 白美安; 尤英覽; 簡孝文; 郭元銓; 林柏松; Pai, Tsai Mei-an; Yu, Ying-lan; Chien, Shiaw-wen; Kuo, Yuan-chuan; Lim, Paik-seong; |
期刊 | 臺灣腎臟醫學會雜誌 |
出版日期 | 20090300 |
卷期 | 23:1 2009.03[民98.03] |
頁次 | 頁40-42+58 |
分類號 | 415.816 |
語文 | eng |
關鍵詞 | 導管相關菌血症; 袖扣隧道式導管; 血液透析; Methicillin-resistant staphyloccus aureus; MRSA; Catheter related bacteremia; Cuffed tunneled catheter; Hemodialysis; |
英文摘要 | Bacteremia in a hemodialysis patient with cuffed tunneled catheter is a significant cause of morbidity and mortality. Native arteriovenous fistulas or vascular prostheses are the preferred forms of vascular access, but their creation may not always be possible. Catheter-related bacteremia occurs chiefty because of Gram-positive organisms and staphylococcus aureus is one of the leading causes. Here, we described a 54-year-old female with catheter-related bacteremia complicated by methicillin-resistant staphylococcus aureus (MRSA) meningitis, unresponsive to intravenous vancomycin therapy. To our knowledge, this is the first reported case of MRSA meningitis, a nearly always fatal disease in dialysis patients, treated successfully with intravenouss linezolid. |
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