PMID- 34075617 OWN - NLM STAT- MEDLINE DCOM- 20220221 LR - 20220221 IS - 1365-2710 (Electronic) IS - 0269-4727 (Linking) VI - 47 IP - 1 DP - 2022 Jan TI - Combination therapy for disseminated strongyloidiasis with associated vancomycin-resistant, linezolid-intermediate Enterococcus faecium meningitis: A case report. PG - 121-124 LID - 10.1111/jcpt.13448 [doi] AB - WHAT IS KNOWN AND OBJECTIVE: The rhabditid nematode Strongyloides stercoralis is the major causative agent of disseminated strongyloidiasis (DS). In rare cases, DS has caused enterococcal meningitis. If DS-associated vancomycin-resistant Enterococcus faecium (VRE) meningitis is suspected, combination antibiotic therapy should be considered. CASE SUMMARY: We present a case of a 61-year-old male who developed DS associated with vancomycin-resistant and linezolid-intermediate E. faecium meningitis after receiving corticosteroids. The VRE meningitis was treated with high-dose daptomycin 12 mg/kg, linezolid, tigecycline and quinupristin/dalfopristin. Despite negative cultures, the patient expired. WHAT IS NEW AND CONCLUSION: In patients with DS-associated VRE meningitis, early use of combination therapy may be warranted to improve patient outcomes. CI - (c) 2021 John Wiley & Sons Ltd. FAU - Tobin, Morgan A AU - Tobin MA AD - Department of Pharmacy Services, Saint Joseph Hospital, Lexington, KY, USA. FAU - Dougherty, David F AU - Dougherty DF AD - Lexington Infectious Disease Consultants, Saint Joseph Hospital, Lexington, KY, USA. FAU - Ratliff, Patrick D AU - Ratliff PD AD - Department of Pharmacy Services, Saint Joseph Hospital, Lexington, KY, USA. FAU - Judd, W Russ AU - Judd WR AD - Department of Pharmacy Services, Saint Joseph Hospital, Lexington, KY, USA. LA - eng PT - Case Reports PT - Journal Article DEP - 20210602 PL - England TA - J Clin Pharm Ther JT - Journal of clinical pharmacy and therapeutics JID - 8704308 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Anti-Bacterial Agents) SB - IM MH - Adrenal Cortex Hormones/adverse effects MH - Anti-Bacterial Agents/administration & dosage/*therapeutic use MH - Dose-Response Relationship, Drug MH - *Drug Resistance, Multiple, Bacterial MH - Drug Therapy, Combination MH - Enterococcus faecium MH - Gram-Positive Bacterial Infections/*drug therapy MH - Humans MH - Male MH - Meningitis, Bacterial/*drug therapy MH - Microbial Sensitivity Tests MH - Middle Aged MH - Strongyloidiasis/chemically induced/*drug therapy MH - Vancomycin Resistance OTO - NOTNLM OT - Strongyloides stercoralis OT - hyperinfection syndrome OT - meningitis OT - strongyloides OT - strongyloidiasis OT - vancomycin-resistant enterococcus EDAT- 2021/06/03 06:00 MHDA- 2022/02/22 06:00 CRDT- 2021/06/02 06:56 PHST- 2021/03/26 00:00 [revised] PHST- 2021/02/11 00:00 [received] PHST- 2021/05/12 00:00 [accepted] PHST- 2021/06/03 06:00 [pubmed] PHST- 2022/02/22 06:00 [medline] PHST- 2021/06/02 06:56 [entrez] AID - 10.1111/jcpt.13448 [doi] PST - ppublish SO - J Clin Pharm Ther. 2022 Jan;47(1):121-124. doi: 10.1111/jcpt.13448. Epub 2021 Jun 2.