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Cefiderocol Red Wine Urine Syndrome in Pediatric Patients: A Multicenter Case Series
Kate Shapiro1,2, Stephanie P Ungar3, Jessica Krugman3
1From the Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee.
None:
Cefiderocol is a novel cephalosporin antibiotic with activity against multidrug-resistant Gram-negative bacteria and limited pediatric experience. This case series describes 3 immunocompromised children receiving blood transfusion who developed benign red or purple urine with administration of cefiderocol. Interaction with iron from blood products is a possible mechanism. It is important to recognize this phenomenon and distinguish it from hematuria to avoid unnecessary diagnostic testing.
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