Official website of the johns hopkins antibiotic abx hiv diabetes and psychiatry guides powered by unbound medicine. Given its rarity c kroppenstedtii may be overlooked as a causative pathogen.
A Microbiological And Clinical Review On Corynebacterium Kroppenstedtii Sciencedirect
Corynebacterium kroppenstedtii is a difficult pathogen associated with granulomatous mastitis and recurrent breast abscesses.
Corynebacterium kroppenstedtii treatment. Despite over a dozen studies there is no guidance on surgical interventions steroid use or dosing or duration of antibiotic treatment recent findingsinitially seen in predominantly maori and pacific islander multiparous postlactating women c. The bird had been treated with ivermectin and enrofloxacin without success. A 5 year old lovebird agapornis roseicollis was presented with scaly crusts around both external ear openings and exudate present around the left ear.
Pasmanstreatment of otitis externa associated with corynebacterium kroppenstedtii in a peach faced lovebird agapornis roseicollis with an acetic and boric acid commercial solution. As in our case protracted courses of antibiotics may be required for complete resolution. The specific antibiotic treatments for corynebacterial infection were defined as culture positive for corynebacterium species and ever received antibiotic treatments such as vancomycin teicoplanin doxycycline minocycline tigecycline linezolid or daptomycin.
Purpose of reviewcorynebacterium kroppenstedtii is a difficult pathogen associated with granulomatous mastitis and recurrent breast abscesses. Range 2 to 6 procedures. The management of corynebacterium breast infections requires a multidisciplinary approach and includes culture and appropriate sensitivity testing to guide antimicrobial therapy.
He recovered after 3 weeks of oral ampicillin. Corynebacterium kroppenstedtii was also isolated from tenckhoff exit site in a 31 year old male patient with tenckhoff exit site infection. Kroppenstedtii presented with a hot painful breast mass and underwent multiple surgical procedures median 4 procedures.
Corynebacterium species is a topic covered in the johns hopkins abx guide. Despite over a dozen studies there is no guidance on surgical interventions steroid use or dosing or duration of antibiotic treatment. Kroppenstedtii breast infection has since been reported throughout the world including in nulliparous women.
Thus we urge clinician awareness to facilitate prompt diagnosis and minimize invasive procedures. He recovered after 3 weeks of oral ampicillin. Antibiotic sensitivity to corynebacterium species was not always available.
As c kroppenstedtii mastitis is rare understanding of pathogenesis of this disease is limited. To view the entire topic please sign in or purchase a subscription. Her abscesses did not improve despite multiple antibiotics dicloxacillin clindamycin trimethoprim sulfamethoxazole doxycycline amoxicillin clavulanic acid and ciprofloxacin a course of prednisone two ultrasound guided breast aspirations and two incision and drainage procedures over the next 4 months.
Treatment of otitis externa associated with corynebacterium kroppenstedtii in a peach faced lovebird agapornis roseicollis with an acetic and boric acid commercial solution. Further study is needed as much remains to be understood regarding treatment strategies.
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