Case Reports

. 2014 Dec:30:24-6.

doi: 10.1016/j.anaerobe.2014.07.009. Epub 2014 Aug 5.

Vancomycin-resistant Clostridium innocuum bacteremia following oral vancomycin for Clostridium difficile infection

Yuan-Pin Hung¹, Hsiao-Ju Lin¹, Chi-Jung Wu², Po-Lin Chen³, Jen-Chieh Lee³, Hsiao-Chieh Liu⁴, Yi-Hui Wu⁵, Fang Hao Yeh⁶, Pei-Jane Tsai⁷, Wen-Chien Ko⁸

Affiliations

¹ Departments of Internal Medicine, Tainan Hospital, Ministry of Health & Welfare, Tainan, Taiwan; Department of Internal Medicine, National Cheng Kung University Hospital and Medical College, Tainan, Taiwan; Graduate Institute of Clinical Medicine, National Health Research Institutes, Tainan, Taiwan.
² Graduate Institute of Clinical Medicine, National Health Research Institutes, Tainan, Taiwan; National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, Tainan, Taiwan.
³ Department of Internal Medicine, National Cheng Kung University Hospital and Medical College, Tainan, Taiwan.
⁴ Departments of Internal Medicine, Tainan Hospital, Ministry of Health & Welfare, Tainan, Taiwan; Experiment and Diagnosis, Tainan Hospital, Ministry of Health & Welfare, Tainan, Taiwan.
⁵ Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan.
⁶ Department of Medical Laboratory Science and Biotechnology, National Cheng Kung University, Medical College, Tainan, Taiwan.
⁷ Department of Medical Laboratory Science and Biotechnology, National Cheng Kung University, Medical College, Tainan, Taiwan; Center of Infectious Disease and Signaling Research, National Cheng Kung University, Tainan City, Taiwan. Electronic address: peijtsai@mail.ncku.edu.com.
⁸ Department of Internal Medicine, National Cheng Kung University Hospital and Medical College, Tainan, Taiwan. Electronic address: winston3415@gmail.com.

PMID: 25102472
DOI: 10.1016/j.anaerobe.2014.07.009

Case Reports

Vancomycin-resistant Clostridium innocuum bacteremia following oral vancomycin for Clostridium difficile infection

Yuan-Pin Hung et al. Anaerobe. 2014 Dec.

. 2014 Dec:30:24-6.

doi: 10.1016/j.anaerobe.2014.07.009. Epub 2014 Aug 5.

Authors

Yuan-Pin Hung¹, Hsiao-Ju Lin¹, Chi-Jung Wu², Po-Lin Chen³, Jen-Chieh Lee³, Hsiao-Chieh Liu⁴, Yi-Hui Wu⁵, Fang Hao Yeh⁶, Pei-Jane Tsai⁷, Wen-Chien Ko⁸

Affiliations

¹ Departments of Internal Medicine, Tainan Hospital, Ministry of Health & Welfare, Tainan, Taiwan; Department of Internal Medicine, National Cheng Kung University Hospital and Medical College, Tainan, Taiwan; Graduate Institute of Clinical Medicine, National Health Research Institutes, Tainan, Taiwan.
² Graduate Institute of Clinical Medicine, National Health Research Institutes, Tainan, Taiwan; National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, Tainan, Taiwan.
³ Department of Internal Medicine, National Cheng Kung University Hospital and Medical College, Tainan, Taiwan.
⁴ Departments of Internal Medicine, Tainan Hospital, Ministry of Health & Welfare, Tainan, Taiwan; Experiment and Diagnosis, Tainan Hospital, Ministry of Health & Welfare, Tainan, Taiwan.
⁵ Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan.
⁶ Department of Medical Laboratory Science and Biotechnology, National Cheng Kung University, Medical College, Tainan, Taiwan.
⁷ Department of Medical Laboratory Science and Biotechnology, National Cheng Kung University, Medical College, Tainan, Taiwan; Center of Infectious Disease and Signaling Research, National Cheng Kung University, Tainan City, Taiwan. Electronic address: peijtsai@mail.ncku.edu.com.
⁸ Department of Internal Medicine, National Cheng Kung University Hospital and Medical College, Tainan, Taiwan. Electronic address: winston3415@gmail.com.

PMID: 25102472
DOI: 10.1016/j.anaerobe.2014.07.009

Abstract

An 85 year-old male initially admitted for septic shock due to urinary tract infection experienced Clostridium difficile-associated diarrhea during hospitalization and was treated by oral vancomycin. His clinical course was complicated by cytomegalovirus colitis and then vancomycin-resistant Clostridium innocuum bacteremia, which was cured by uneventfully parenteral piperacillin-tazobactam therapy.

Keywords: Clostridium difficile infection; Clostridium innocuum; Cytomegalovirus colitis; Oral vancomycin.

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Vancomycin-resistant Clostridium innocuum bacteremia following oral vancomycin for Clostridium difficile infection

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Vancomycin-resistant Clostridium innocuum bacteremia following oral vancomycin for Clostridium difficile infection

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