Role of Therapeutic Drug Monitoring in the Treatment of Persistent Mycobacterium abscessus Central Nervous System Infection: A Case Report and Review of the Literature

En Ling Wu, Omar Al-Heeti, Brian M. Hoff, Janna L. Williams, Karen M. Krueger, Phillip P. Santoiemma, Nathaniel J. Rhodes*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

A patient presenting with recurrent ventriculoperitoneal shunt infection was found to have Mycobacterium abscessus growing from cerebrospinal fluid (CSF), which remained persistently positive. Therapeutic monitoring of clarithromycin, imipenem, and linezolid in CSF and plasma revealed lower than expected concentrations, prompting alternative therapy and culture clearance on hospital day 42.

Original languageEnglish (US)
Article numberofac392
JournalOpen Forum Infectious Diseases
Volume9
Issue number8
DOIs
StatePublished - Aug 1 2022

Keywords

  • NTM
  • mycobacterial infections
  • pharmacokinetics
  • therapeutic drug monitoring
  • ventriculitis
  • ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Infectious Diseases
  • Oncology

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