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Journal of Clinical Microbiology, February 2006, p. 655-656, Vol. 44, No. 2
0095-1137/06/$08.00+0     doi:10.1128/JCM.44.2.655-656.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Treatment Failure Resulting from Resistance of Staphylococcus aureus to Daptomycin

Daniel J. Skiest*

Division of Infectious Diseases, The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, Texas 75390-9113

Received 28 September 2005/ Returned for modification 8 November 2005/ Accepted 9 November 2005

Daptomycin, a new cyclic lipopeptide, was recently approved for the treatment of infections by gram-positive organisms, including infections with methicillin-resistant Staphylococcus aureus (MRSA). A patient infected with infected with MRSA developed resistance to daptomycin after prolonged exposure, which resulted in clinical failure. Clinicians should be aware of the possibility of daptomycin resistance and should consider routine testing for daptomycin susceptibility.


* Mailing address: Baystate Medical Center, Division of Infectious Diseases, 759 Chestnut St., Springfield, MA 01199. Phone: (413) 794-5376. Fax: (413) 794-4199. E-mail: daniel.skiest{at}bhs.org.


Journal of Clinical Microbiology, February 2006, p. 655-656, Vol. 44, No. 2
0095-1137/06/$08.00+0     doi:10.1128/JCM.44.2.655-656.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.




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