Successful eravacycline monotherapy for cefiderocol-resistant Acinetobacter baumannii bloodstream infection in a critically ill patient with concomitant Clostridioides difficile colitis.
Luca Pipitò, Antonio Anastasia, Giulio D'Agati et al.
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Case in brief
An 87-year-old critically ill woman with multiple comorbidities developed a bloodstream infection caused by cefiderocol-resistant Acinetobacter baumannii during hospitalization, alongside Clostridioides difficile colitis. After confirming resistance, her treatment was switched to eravacycline monotherapy. Following 14 days of treatment, she showed clinical improvement and achieved blood culture sterilization within 96 hours.
Diagnostic / clinical pearl
In cases of cefiderocol-resistant Acinetobacter baumannii, eravacycline may be an effective alternative, even in the context of concurrent Clostridioides difficile infection.