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Vancomycin-resistant Enterococcus bacteremia in a child with acute myeloid leukemia: successful treatment with
Ayşe Büyükcam1, Eda Karadağ Öncel2, Yasemin Özsürekçi2
1Pediatric Infectious Diseases Unit, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. dr.aysebaktir@gmail.com.
Insights
Vancomycin-resistant enterococcus (VRE) infections pose a significant threat to children, especially those with leukemia. Daptomycin demonstrated success in treating a pediatric patient with VRE bacteremia, suggesting its potential as an alternative therapy.
Area of Science:
- Pediatric Infectious Diseases
- Hematology-Oncology
- Antimicrobial Resistance
Background:
- Multiple-drug-resistant enterococcal infections present a serious challenge in pediatric patients, often associated with severe underlying conditions.
- Limited treatment options exist for pediatric patients with vancomycin-resistant enterococcus (VRE) infections compared to adults.
Observation:
- A case report details a 3-year-old boy diagnosed with acute myeloid leukemia (AML)-M7.
Findings:
- The patient experienced vancomycin-resistant enterococcus (VRE) bacteremia, a serious complication.
- Successful treatment of VRE bacteremia was achieved using daptomycin.
Implications:
- Daptomycin may represent a viable therapeutic option for VRE infections in pediatric populations.
- Further research is warranted to establish the extended use and efficacy of daptomycin in treating pediatric VRE infections.
Abstract:
Multiple-drug-resistant enterococcal infections canbe a serious problem in pediatric patients particularly concomitance with severe underlying diseases and lead to significant morbidity and mortality. The treatment options in children are limited compared with adults. We report a 3-year old-boy with acute myeloid leukemia (AML)-M7 and vancomycin-resistant enterococcus bacteremia successfully treated with daptomycin. Daptomycin may be an alternative therapy for VRE infections in children; more studies are needed for extended usage.
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