Successful treatment of cepacia syndrome with combination nebulised and intravenous antibiotic therapy

J Cyst Fibros. 2008 Sep;7(5):409-11. doi: 10.1016/j.jcf.2008.02.005. Epub 2008 Mar 19.

Abstract

We report the case of successful treatment of a 31-year-old lady with cystic fibrosis and an en-bloc liver-pancreas transplant, who developed cepacia syndrome on a background of chronic infection with the ET12 epidemic strain of Burkholderia cenocepacia. Combination therapy with nebulised and intravenous meropenem and tobramycin led to clinical improvement with a return to baseline function and complete resolution of the acute chest X-ray changes.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / administration & dosage
  • Burkholderia Infections / drug therapy*
  • Burkholderia Infections / microbiology
  • Burkholderia cepacia / isolation & purification*
  • Cystic Fibrosis / complications*
  • Drug Therapy, Combination
  • Female
  • Humans
  • Injections, Intravenous
  • Meropenem
  • Nebulizers and Vaporizers
  • Syndrome
  • Thienamycins / administration & dosage
  • Tobramycin / administration & dosage

Substances

  • Anti-Bacterial Agents
  • Thienamycins
  • Meropenem
  • Tobramycin