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Gordonia sternal wound infection treated with ceftaroline: case report and literature review
Kevan Akrami1, Joelle Coletta2,3, Sanjay Mehta1,4
1Department of Medicine, Division of Infectious Disease, University of California, San Diego, 9500 Gilman Drive # 0711 La Jolla, CA 92093-0711, USA.
Abstract:
Introduction. Case reports have emerged with identification of Gordonia bronchialis infections including sternal wound infections and foreign bodies such as central lines and shunts. Case presentation. We present a case that demonstrates the need to consider Gordonia infection as a cause of sternal wound infection and highlights the utility of novel diagnostics to aid in the identification of unusual pathogens that can cause post-operative infections. We report here the first successful use of ceftaroline for treatment of a G. bronchialis sternal wound infection. Conclusion. There are only case reports and in vitro assays to date to guide treatment of this infection, and we now add ceftaroline as a new drug to consider, though adequate surgical debridement is paramount.
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