Successful treatment of melioidosis caused by a multiresistant strain in an immunocompromised host with third generation cephalosporins.

A 32-yr-old woman with active systemic lupus erythematosus receiving prednisone and azathioprine developed lung abscesses of the right lower lobe caused by Pseudomonas pseudomallei, which was resistant concomitantly to chloramphenicol, co-trimoxazole, and tetracycline, but highly sensitive to a new cephalosporin, ceftazidime. Melioidosis was treated successfully with lobectomy and parenteral ceftazidime, which was given for 2 months without major side effects. Ceftazidime, being bactericidal, may be more promising for the eradication of P. pseudomallei, especially in immunocompromised hosts. This was also the first reported case of melioidosis in Hong Kong, where the disease might be endemic, as 4 more cases were found later.
AuthorsS Y So, P Y Chau, Y K Leung, W K Lam, D Y Yu
JournalThe American review of respiratory disease (Am Rev Respir Dis) Vol. 127 Issue 5 Pg. 650-4 (May 1983) ISSN: 0003-0805 [Print] UNITED STATES
PMID6342484 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Bacterial Agents
  • Cephalosporins
  • Immunosuppressive Agents
  • Ceftazidime
  • Adult
  • Anti-Bacterial Agents (pharmacology)
  • Ceftazidime
  • Cephalosporins (therapeutic use)
  • Drug Resistance, Microbial
  • Female
  • Hong Kong
  • Humans
  • Immunosuppression (adverse effects)
  • Immunosuppressive Agents (therapeutic use)
  • Lung Abscess (drug therapy)
  • Lupus Erythematosus, Systemic (complications)
  • Melioidosis (complications, drug therapy, epidemiology)
  • Pseudomonas (drug effects)
  • Time Factors

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