Holger Dana J, Kunz Coyne Ashlan J, Zhao Jing J, Sandhu Avnish, Salimnia Hossein, Rybak Michael J
Anti-Infective Research Laboratory, Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit, Michigan, USA.
Department of Pharmacy, Harper University Hospital, Detroit Medical Center, Detroit, Michigan, USA.
Open Forum Infect Dis. 2022 Mar 5;9(4):ofac092. doi: 10.1093/ofid/ofac092. eCollection 2022 Apr.
We report our clinical and laboratory experience treating a 50-year-old patient who was critically ill with extensively drug-resistant necrotizing pneumonia complicated by empyema in Detroit, Michigan. A precision medicine approach using whole-genome sequencing, susceptibility testing, and synergy analysis guided the selection of rational combination antimicrobial therapy.
我们报告了我们对一名50岁患者的临床和实验室治疗经验,该患者在密歇根州底特律患有广泛耐药性坏死性肺炎并伴有脓胸,病情危急。采用全基因组测序、药敏试验和协同分析的精准医学方法指导了合理联合抗菌治疗的选择。