Infection https://doi.org/10.1007/s15010-018-1159-8 CORRESPONDENCE 1 2 1 1 Eric Nulens · Eva‑Line Decoster · Marie‑Christine Schoonooghe · Astrid Muyldermans Received: 11 January 2018 / Accepted: 28 May 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 A 76-year-old male patient with malaise, inflammatory dis- remained sterile. The isolate was susceptible to erythromy- ease, and clinical suspicion of pneumonia was admitted to cin, ciprofloxacin, tetracycline, amoxicillin–clavulanate, the pneumology department. Chest radiograph showed right meropenem and resistant to ceftriaxone, performed accord- perihilar, and upper lobe consolidation with patchy infil - ing to Eucast guidelines, with minimum inhibitory concen- trates, attributed to tuberculosis incurred at a young age. trations of 0.75, 0.5, 1, 0.5, 0.047 and 8 µg/ml, respectively. Antibiotic treatment with piperacillin–tazobactam 4.5 g After 6 weeks, therapy was switched to oral ciprofloxacin t.i.d. iv was initiated. The patient presented with pronounced 750 mg b.i.d. However, due to the frail general condition cachexia and marasmus due to persistent diarrhea lasting at resulting in little hope for successful treatment, all treat- least a year, decreased food intake following a gastric bypass ments were stopped. The patient died. Campylobacter is in September 2014, and chronic alcohol abuse. In the past mainly known as a gastro-intestinal disease following inges- 2 years he
Infection – Springer Journals
Published: May 30, 2018
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