Unusual accumulation of a wide array of antimicrobial resistance mechanisms in a patient with cytomegalovirus-associated hemophagocytic lymphohistiocytosis: a case report

Infections with multidrug-resistant organisms (MDRO) pose a serious threat to patients with dysregulated immunity such as in hemophagocytic lymphohistiocytosis (HLH), but such infections have rarely been comprehensively characterized. Here, we present a fatal case of HLH secondary to cytomegalovirus...

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Bibliographic Details
Published in:	BMC infectious diseases Vol. 20; no. 1; p. 237
Main Authors:	Hasan, Mohammad Rubayet, Sundaram, Manu Somasundaram, Sundararaju, Sathyavathi, Tsui, Kin-Ming, Karim, Mohammed Yousuf, Roscoe, Diane, Imam, Omar, Janahi, Mohammad A, Thomas, Eva, Dobson, Simon, Tan, Rusung, Tang, Patrick, Lopez, Andres Perez
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 20-03-2020 BioMed Central BMC
Subjects:	Accumulation Anemia Anti-Bacterial Agents - adverse effects Anti-Bacterial Agents - therapeutic use Antibacterial agents Antibiotic resistance Antibiotics Antimicrobial agents Antimicrobial resistance Antiviral agents Antiviral Agents - adverse effects Antiviral Agents - therapeutic use Antiviral resistance Bacteria Bone marrow Carbapenem-Resistant Enterobacteriaceae - drug effects Carbapenem-Resistant Enterobacteriaceae - genetics Care and treatment Case Report Case reports Case studies Child Cidofovir Colitis Complications and side effects Cytomegalovirus Cytomegalovirus - drug effects Cytomegalovirus - genetics Cytomegalovirus - immunology Cytomegalovirus infections Cytomegalovirus Infections - complications Cytomegalovirus Infections - diagnosis Cytomegalovirus Infections - drug therapy Cytomegalovirus Infections - virology Diagnosis DNA sequencing Drug resistance Drug Resistance, Multiple, Bacterial - genetics Drug Resistance, Multiple, Viral E coli Enzymes Fatal Outcome Fever Ganciclovir Ganciclovir - adverse effects Ganciclovir - therapeutic use Gene sequencing Genes Genomes Genomics Genotype Hemophagocytic lymphohistiocytosis Hemorrhage Histiocytosis Hospital admission and discharge Hospitals Humans Infection Infections Infectious diseases Inflammatory bowel disease Laboratories Lymphatic diseases Lymphocytosis Lymphohistiocytosis, Hemophagocytic - diagnosis Lymphohistiocytosis, Hemophagocytic - drug therapy Lymphohistiocytosis, Hemophagocytic - virology Male Metagenomics Microbial drug resistance Multidrug resistance Multidrug resistant organisms Multidrug-resistant organism Mutation Patients Sepsis Sepsis - drug therapy Sepsis - microbiology Sepsis - mortality Ulcers Valganciclovir Vancomycin Vancomycin-Resistant Enterococci - drug effects Vancomycin-Resistant Enterococci - genetics Virus diseases Whole genome sequencing Qatar India Cytomegalovirus Hemophagocytic lymphohistiocytosis Multidrug-resistant organism Antiviral resistance
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