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Fixation and Sectioning01:03

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Two basic types of preparation are used to visualize specimens with a light microscope: wet mounts and fixed specimens.
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
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Cefiderocol-associated brown chromaturia.

Michael Smith1, Kap Sum Foong2

  • 1Tufts Medical Center, Boston, Massachusetts, USA.

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|December 16, 2023
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Summary

A case report details a patient with extensively drug-resistant bacterial infections who experienced brown urine discoloration while treated with cefiderocol. This side effect resolved after discontinuing the novel siderophore cephalosporin antibiotic.

Keywords:
InfectionsInfectious diseasesUnwanted effects / adverse reactions

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Area of Science:

  • Infectious Diseases
  • Pharmacology
  • Nephrology

Background:

  • Diabetic foot ulcers are prone to severe infections, often involving multidrug-resistant organisms.
  • Chronic osteomyelitis requires aggressive treatment, including surgical debridement and targeted antibiotics.
  • Cefiderocol is a novel siderophore cephalosporin effective against certain Gram-negative pathogens.

Observation:

  • A patient with extensively drug-resistant (XDR) Pseudomonas aeruginosa, XDR Acinetobacter baumannii, and Enterococcus faecalis in a diabetic foot ulcer was treated with ampicillin-sulbactam and cefiderocol.
  • The patient developed brown urine discoloration during cefiderocol treatment.
  • Investigations ruled out hemoglobinuria, myoglobinuria, and bilirubinuria as causes for the urine discoloration.

Findings:

  • Brown urine discoloration was suspected as a side effect of cefiderocol.
  • Discontinuation of cefiderocol led to the resolution of urine discoloration within 3 days.
  • This suggests a potential, reversible adverse effect of cefiderocol therapy.

Implications:

  • Clinicians should be aware of potential cefiderocol-associated urine discoloration.
  • Monitoring for adverse effects is crucial when using novel antibiotics like cefiderocol.
  • Further studies are needed to elucidate the mechanism and incidence of this cefiderocol side effect.