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A 67-year-old gentleman developed persistent Staphylococcus epidermidis bacteraemia following transjugular intrahepatic portal shunting. 'Endotipsitis' was diagnosed. Conventional therapy with a vancomycin infusion, amikacin and rifampicin failed after 17 days. He was cured with a 6-week course of high-dose (8 mg/kg) daptomycin monotherapy.

Original publication

DOI

10.1136/bcr-2013-009529

Type

Journal article

Journal

BMJ Case Rep

Publication Date

16/04/2013

Volume

2013

Keywords

Aged, Amikacin, Anti-Bacterial Agents, Bacteremia, Catheterization, Central Venous, Catheters, Daptomycin, Drug Resistance, Multiple, Bacterial, Humans, Male, Rifampin, Staphylococcal Infections, Staphylococcus epidermidis, Treatment Failure, Vancomycin