- |||||||||| prednisone / Generic mfg., levofloxacin / Generic mfg.
PROGRESSIVE PULMONARY FIBROSIS: USE OF TRANSBRONCHIAL BIOPSY TO DIFFERENTIATE SILICOSIS FROM SARCOIDOSIS (Convention Center Exhibit Hall: Rapid Area 4D) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3806; Even though lung biopsy is not required for the diagnosis of silicosis, it is a beneficial tool in ruling out competing diagnoses. This patient's occupational history and imaging findings fit the diagnosis of silicosis; however, his biopsy revealed non-necrotizing granulomas; thus, leading to the diagnosis of sarcoidosis.
- |||||||||| ceftriaxone / Generic mfg., levofloxacin / Generic mfg., amoxycillin/clavulanate / Generic mfg.
PULMONARY ABSCESS DEVELOPING AFTER FAILED TREATMENT FOR COMMUNITY-ACQUIRED PNEUMONIA (Convention Center Exhibit Hall: Rapid Area 2B) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3781; Therefore, any patient with an unresolved respiratory infection not responding to empirical antibiotic therapy, lobar consolidation on repeated radiological imaging, S. anginosus empyema should be in differentials. To ensure resolution, aggressive management with antibiotics, drainage, and, if necessary, surgical debridement should be done.
- |||||||||| DEEP IN THE LUNGS: A CASE OF AN ATYPICAL LUNG ABSCESS CAUSED BY STREPTOCOCCUS CONSTELLATUS AND GRANULICATELLA ADIACENS (Convention Center Exhibit Hall: Rapid Area 4B) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3685;
He was prescribed Amoxicillin-Clavulanate and a repeat bronchoscopy was performed...He was started on IV Vancomycin but, due to recurrent PICC line associated DVT, was switched to oral Levofloxacin and completed 6 weeks of antibiotics... It is important for clinicians to be aware of serious infections caused by these commensals to provide timely diagnosis and management with appropriate antibiotics.
- |||||||||| levofloxacin / Generic mfg.
ATYPICAL PRESENTATION OF FAT EMBOLISM SYNDROME IN AN IMMUNOCOMPROMISED PATIENT (Convention Center Exhibit Hall: Rapid Area 4C) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3589; The diagnosis of fat embolism syndrome condition should still be suspected despite a delay from the initial surgery. Diagnosis in immunocompromised patients requires a detailed workup to rule out other etiologies.
- |||||||||| Humira (adalimumab) / Eisai, AbbVie
DISSEMINATED PULMONARY HISTOPLASMOSIS PRESENTING AS MILIARY PATTERN ON IMAGING (Convention Center Exhibit Hall: Rapid Area 1C) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3581; Histoplasmosis can present as severe pulmonary disease or disseminated infections in immunocompromised patients. In such patients in endemic areas, imaging findings of a miliary pattern of diffuse pulmonary nodules should prompt early evaluation for histoplasmosis infection with consideration for empiric treatment.
- |||||||||| ethambutol / Generic mfg., levofloxacin / Generic mfg.
FLUID IN THE FISSURE: DIAGNOSTIC CHALLENGE WITH A RARE CASE OF EXTRAPULMONARY TB (Convention Center Exhibit Hall: Rapid Area 1D) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3489; Although active TB was unconfirmed, given high clinical suspicion, the decision was made to empirically treat with rifampin, ethambutol, and levofloxacin. Despite pragmatic challenges in diagnostic workup, empiric treatment for extrapulmonary TB through prioritized differential diagnosis can improve clinical outcome.
- |||||||||| prednisone / Generic mfg., levofloxacin / Generic mfg., trimethoprim/sulfamethoxazole / Generic mfg.
ORGANIZING PNEUMONIA WITH FOREIGN BODY REACTION AS A RESULT OF SODIUM HYDROXIDE AND AMMONIUM SALT VAPOR EXPOSURE (Convention Center Exhibit Hall: Rapid Area 2D) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3477; High suspicion for occult pneumonitis should exist when patients present with prolonged exposure to cleaning/noxious chemical vapors exist. Respiratory protection should be emphasized as a public health policy to prevent lung damage among any type of cleaner use including high-skilled (HVAC) cleaners.
- |||||||||| Mycobutin (rifabutin) / Pfizer, Lupin
MYCOBACTERIUM SHIMOIDEI: A RARE NONTUBERCULOUS INFECTION IN A US PATIENT (Convention Center Exhibit Hall: Rapid Area 3A) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3390; Pyrazinamide was switched to levofloxacin 750mg daily and rifabutin 150mg daily due hepatotoxicity... Due to the rarity of M. Shimodeii, cases need to be reported in order to determine pathogenicity, predisposing risk factors and treatment of choice.
- |||||||||| levofloxacin / Generic mfg., amikacin sulfate / Generic mfg.
TB OR NOT TB: AN UNUSUAL TALE OF BACK PAIN AND CUTANEOUS TB (Convention Center Exhibit Hall: Rapid Area 4C) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3342; This is more important now than ever given social disparities in healthcare, the ease of international travel and the challenges we face with the emergence of resistance patterns. Early recognition and treatment can prevent complications and transmission of the disease.
- |||||||||| levofloxacin / Generic mfg., azithromycin / Generic mfg.
IGG4-RELATED DISEASE: A RARE ETIOLOGY OF CAVITARY LUNG DISEASE (Convention Center Exhibit Hall: Rapid Area 4B) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3276; Her initial chest X-ray done 3 weeks prior showed a left lower lobe (LLL) opacity concerning for a bacterial pneumonia and she was treated with azithromycin, levofloxacin, and metronidazole. IgG4-RD is a rare cause of cavitary lung mass that should be considered if the routine workup for infectious and malignant etiologies is unrevealing.
- |||||||||| levofloxacin / Generic mfg.
Clinical, Retrospective data, Review: Safety of Quinolones in Children: A Systematic Review and Meta-Analysis. (Pubmed Central) - Sep 10, 2022 Our current large-scale epidemiological survey would support further infection intervention strategies of NDM-KP in NICU/PICU of children's hospitals. Although the existing evidence shows that quinolone-induced musculoskeletal ADEs seem to be only short-term and reversible, and no serious skeletal and muscular system damage cases have been reported in children, quinolones should be avoided unless necessary in children because the incidence rate of quinolone-related ADEs is not low and they are broad-spectrum antibiotics that will induce the emergence of resistant strains if used frequently.
- |||||||||| Journal: Emergence and Evolution of Unique Plasmids Harboring bla and bla in Multidrug-Resistant Providencia rettgeri. (Pubmed Central) - Sep 10, 2022
This strain is resistant to β-lactams, amikacin, levofloxacin, and colistin...IMPORTANCE Although Providencia rettgeri is an opportunistic pathogen, its intrinsic resistance to colistin and tigecycline makes the treatment of carbapenem-resistant P. rettgeri challenging...We show that bla, bla, and bla are present on unique plasmids and that they have high similarities to the plasmid of another IMP-70-producing P. rettgeri isolate that was identified as being from the same location. The evolution of plasmids through mutations and recombination may play a role in the development and spread of multidrug resistance.
- |||||||||| Mycobutin (rifabutin) / Pfizer, Lupin, Lamprene (clofazimine) / Novartis
Journal: Arabinosyltransferase C Mediates Multiple Drugs Intrinsic Resistance by Altering Cell Envelope Permeability in Mycobacterium abscessus. (Pubmed Central) - Sep 10, 2022 Here, we selected and confirmed an M. abscessus transposon mutant that is hypersensitive to multiple drugs including rifampin, rifabutin, vancomycin, clofazimine, linezolid, imipenem, levofloxacin, cefoxitin, and clarithromycin...Importantly, treatment of M. abscessus with ethambutol, a first-line antituberculosis drug targeting arabinosyltransferases of M. tuberculosis, largely sensitized M. abscessus to multiple antibiotics in vitro...Knockout of MAB_0189c made M. abscessus become susceptible to 3 drugs in mice. These findings indicated that potential powerful M. abscessus EmbC inhibitor might be used to reverse the intrinsic resistance of M. abscessus to multiple drugs.
- |||||||||| ciprofloxacin oral / Generic mfg., levofloxacin / Generic mfg., norfloxacin / Generic mfg.
Journal: Loosely Sandwich-Structured Membranes Decorated with UiO-66-NH for Efficient Antibiotic Separation and Organic Solvent Resistance. (Pubmed Central) - Sep 10, 2022 Moreover, organic solvent resistance testing confirms that the sandwich-structured membrane maintained stable solvent flux and better recovery rates in ethanol, acetone, isopropanol, and N,N-dimethylformamide. Detailed nanofiltration mechanism studies revealed that these outstanding performances are based on the joint effect of the TA-PEI interlayer and PA-MOF selective layer, proposing a new perspective to break through the bottleneck of nanofiltration application in a complex environment.
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