Characteristics of patients and salient feature of their infections
Patient | Age | Gender | Isolate source | Infection | Cofactors | Initial therapy | Completion therapy | Outcome |
---|---|---|---|---|---|---|---|---|
CSF, cerebrospinal fluid; IV, intravenous; SLE, systemic lupus erythematosus. | ||||||||
1 | 4 y | M | CSF | CSF and extraventricular drain | Previous cranial surgery; recent intraventricular bleed | IV cefotaxime and IV vancomycin for 2 days | IV cloxacillin for 6 days; extraventricular drain removed | Well |
2 | 18 y | F | Renal abscess | Post-surgical abscess (renal transplant) | Renal transplant; immunosuppression; SLE; abscess also yielded viridans streptococci | IV ampicillin and IV cefazolin for 2–3 days | IV cloxacillin for 8 days; oral cephalexin for 2 weeks; external drain left in place until drainage subsided | Well; no further drainage |
3 | 10 wk | M | Blood and mitral valve | Endocarditis | Congenital heart and other multiple physical anomalies | IV cefotaxime for 2 days and IV vancomycin for 10 days | IV cloxacillin and gentamicin for 10 days; oral cloxacillin for 3 weeks | Well |
4 | 18 y | F | Blood | ? endovascular infection but unknown focus | Spastic quadriplegia | IV vancomycin for 7 days | IV cloxacillin for 4 weeks | Well |
5 | 12 y | M | Blood | Haemodialysis line | Chronic renal failure; Henoch–Schönlein purpura | 2 doses IV vancomycin | IV cloxacillin for 10 days | Well |
6 | 6 mth | M | CSF and ventriculo-peritoneal shunt | CSF | Central nervous system shunt; previous arachnoid cyst | IV vancomycin for 2 days; IV cefotaxime for 3 days | IV cloxacillin for 11 days; shunt revised near completion of cloxacillin therapy | Well |