Antibiotics (Basel) 2021 May 5;10(5). Epub 2021 May 5.
Department of Biomedical Sciences, University of South Carolina School of Medicine Greenville, Greenville, SC 29605, USA.
While is a common cause of urinary tract infections and pyelonephritis, there are few documented cases of extended-spectrum β-lactamase (ESBL)-producing and extensively drug-resistant (XDR) isolates from the community resulting in infection requiring hospitalization, especially in individuals lacking risk factors. In the United States, exposure to ESBL-producing is typically nosocomial, whereas patients from developing countries often encounter ESBL-producing in the community through the consumption of contaminated food or water. Considering the rarity at which XDR isolates are encountered, there is also a scarcity of literature describing the successful treatment of ESBL-producing XDR Here we present a case of an otherwise healthy 28-year-old female delicatessen worker infected with ESBL-producing and XDR without recent travel, antibiotic use, or healthcare contact, who required admission to the intensive care unit (ICU) with pyelonephritis and septic shock. Read More