Extensively drug-resistant Pseudomonas aeruginosa panophthalmitis from contaminated artificial tears

Pseudomonas aeruginosa is one of the common gram-negative organisms that cause severe invasive infections in different organ systems. P. aeruginosa has unique intrinsic mechanisms to develop antimicrobial resistance quickly, making it extremely difficult to treat. We report a case of extensively dru...

Full description

Bibliographic Details
Main Authors: Taylor Wang, Sumeet Jain, Yoav Glidai, Prachi Dua, Katharine S. Dempsey, Eric Shakin, David S. Chu, Marcia Epstein, Lawrence G. Ha
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250923001634
_version_ 1797692060230221824
author Taylor Wang
Sumeet Jain
Yoav Glidai
Prachi Dua
Katharine S. Dempsey
Eric Shakin
David S. Chu
Marcia Epstein
Lawrence G. Ha
author_facet Taylor Wang
Sumeet Jain
Yoav Glidai
Prachi Dua
Katharine S. Dempsey
Eric Shakin
David S. Chu
Marcia Epstein
Lawrence G. Ha
author_sort Taylor Wang
collection DOAJ
description Pseudomonas aeruginosa is one of the common gram-negative organisms that cause severe invasive infections in different organ systems. P. aeruginosa has unique intrinsic mechanisms to develop antimicrobial resistance quickly, making it extremely difficult to treat. We report a case of extensively drug-resistant (XDR) P. aeruginosa panophthalmitis due to contaminated artificial tears. This report investigates the role of systemic and intravitreal antimicrobials, summarizes the resistance mechanisms of P. aeruginosa, and provides an overview on cefiderocol, a novel antimicrobial that targets multidrug-resistant (MDR) and XDR Gram-negative pathogens.
first_indexed 2024-03-12T02:22:14Z
format Article
id doaj.art-82c140c36f5a44389df0de915f053963
institution Directory Open Access Journal
issn 2214-2509
language English
last_indexed 2024-03-12T02:22:14Z
publishDate 2023-01-01
publisher Elsevier
record_format Article
series IDCases
spelling doaj.art-82c140c36f5a44389df0de915f0539632023-09-06T04:51:15ZengElsevierIDCases2214-25092023-01-0133e01839Extensively drug-resistant Pseudomonas aeruginosa panophthalmitis from contaminated artificial tearsTaylor Wang0Sumeet Jain1Yoav Glidai2Prachi Dua3Katharine S. Dempsey4Eric Shakin5David S. Chu6Marcia Epstein7Lawrence G. Ha8Dayton and Karen Brown Division of Infectious Diseases, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 400 Community Dr, Manhasset, NY 11030, USA; Corresponding author.Department of Pharmacy, North Shore University Hospital, 300 Community Dr, Manhasset, NY 11030, USADepartment of Ophthalmology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 300 Community Dr, Manhasset, NY 11030, USADepartment of Ophthalmology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 300 Community Dr, Manhasset, NY 11030, USADepartment of Ophthalmology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 300 Community Dr, Manhasset, NY 11030, USADepartment of Ophthalmology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 300 Community Dr, Manhasset, NY 11030, USAInstitute of Ophthalmology and Visual Science, New Jersey Medical School of Rutgers University, 90 Bergen St., Newark, NJ 07103, USA; Metropolitan Eye Research and Surgery Institute, 540 Bergen Blvd., Palisades Park, NJ 07650, USADayton and Karen Brown Division of Infectious Diseases, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 400 Community Dr, Manhasset, NY 11030, USADayton and Karen Brown Division of Infectious Diseases, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 400 Community Dr, Manhasset, NY 11030, USAPseudomonas aeruginosa is one of the common gram-negative organisms that cause severe invasive infections in different organ systems. P. aeruginosa has unique intrinsic mechanisms to develop antimicrobial resistance quickly, making it extremely difficult to treat. We report a case of extensively drug-resistant (XDR) P. aeruginosa panophthalmitis due to contaminated artificial tears. This report investigates the role of systemic and intravitreal antimicrobials, summarizes the resistance mechanisms of P. aeruginosa, and provides an overview on cefiderocol, a novel antimicrobial that targets multidrug-resistant (MDR) and XDR Gram-negative pathogens.http://www.sciencedirect.com/science/article/pii/S2214250923001634Pseudomonas aeruginosaMultidrug-resistant organismVIM resistance geneGES resistance geneEndophthalmitis
spellingShingle Taylor Wang
Sumeet Jain
Yoav Glidai
Prachi Dua
Katharine S. Dempsey
Eric Shakin
David S. Chu
Marcia Epstein
Lawrence G. Ha
Extensively drug-resistant Pseudomonas aeruginosa panophthalmitis from contaminated artificial tears
IDCases
Pseudomonas aeruginosa
Multidrug-resistant organism
VIM resistance gene
GES resistance gene
Endophthalmitis
title Extensively drug-resistant Pseudomonas aeruginosa panophthalmitis from contaminated artificial tears
title_full Extensively drug-resistant Pseudomonas aeruginosa panophthalmitis from contaminated artificial tears
title_fullStr Extensively drug-resistant Pseudomonas aeruginosa panophthalmitis from contaminated artificial tears
title_full_unstemmed Extensively drug-resistant Pseudomonas aeruginosa panophthalmitis from contaminated artificial tears
title_short Extensively drug-resistant Pseudomonas aeruginosa panophthalmitis from contaminated artificial tears
title_sort extensively drug resistant pseudomonas aeruginosa panophthalmitis from contaminated artificial tears
topic Pseudomonas aeruginosa
Multidrug-resistant organism
VIM resistance gene
GES resistance gene
Endophthalmitis
url http://www.sciencedirect.com/science/article/pii/S2214250923001634
work_keys_str_mv AT taylorwang extensivelydrugresistantpseudomonasaeruginosapanophthalmitisfromcontaminatedartificialtears
AT sumeetjain extensivelydrugresistantpseudomonasaeruginosapanophthalmitisfromcontaminatedartificialtears
AT yoavglidai extensivelydrugresistantpseudomonasaeruginosapanophthalmitisfromcontaminatedartificialtears
AT prachidua extensivelydrugresistantpseudomonasaeruginosapanophthalmitisfromcontaminatedartificialtears
AT katharinesdempsey extensivelydrugresistantpseudomonasaeruginosapanophthalmitisfromcontaminatedartificialtears
AT ericshakin extensivelydrugresistantpseudomonasaeruginosapanophthalmitisfromcontaminatedartificialtears
AT davidschu extensivelydrugresistantpseudomonasaeruginosapanophthalmitisfromcontaminatedartificialtears
AT marciaepstein extensivelydrugresistantpseudomonasaeruginosapanophthalmitisfromcontaminatedartificialtears
AT lawrencegha extensivelydrugresistantpseudomonasaeruginosapanophthalmitisfromcontaminatedartificialtears