Case Report
Extensively Drug-Resistant Myroides odoratus in Critically Ill Patients: A Case Series and Literature Review
Table 1
Susceptibilities for M. odoratus isolates.
| Case 1 | Isolate #1—sputum drug | HD41 MIC (mcg/mL) | Interpretation | HD55 MIC (mcg/mL) | Interpretation | HD80 MIC (mcg/mL) |
| Amikacin | >32 | R | — | — | — | Aztreonam | >16 | R | — | — | — | Cefepime | >16 | R | — | — | — | Ceftazidime | >16 | R | — | — | — | Ceftriaxone | >32 | R | — | — | — | Ciprofloxacin | >2 | R | — | — | — | Ertapenem | Unavailable | R | — | — | — | Gentamicin | >8 | R | — | — | — | Levofloxacin | 1 | R | — | — | — | Piperacillin/tazobactam | >64/4 | R | — | — | — | Tobramycin | >8 | R | — | — | — | Trimethoprim/sulfamethoxazole | >2/38 | R | — | — | — | Minocycline | — | — | ≤1 | S | — | Ceftazidime/avibactam | — | — | >8/4 | — | — | Ceftolozane/tazobactam | — | — | >8/4 | — | — | Meropenem/vaborbactam | — | — | >16/8 | — | — | Tigecycline | — | — | — | — | ≤1 |
| Case 2 | Isolate #2—wound drug | HD76 MIC (mcg/mL) | Interpretation | Isolate #3—blood HD84 MIC (mcg/mL) | Interpretation | Amikacin | >32 | R | >32 | R | Aztreonam | >16 | R | >16 | R | Cefepime | >16 | R | >16 | R | Ceftazidime | >16 | R | >16 | R | Ceftriaxone | >32 | R | >32 | R | Ciprofloxacin | >2 | R | >2 | R | Ertapenem | Unavailable | R | Unavailable | R | Gentamicin | >8 | R | >8 | R | Levofloxacin | 1 | R | >4 | R | Piperacillin/tazobactam | >64/4 | R | >64/4 | R | Tobramycin | >8 | R | >8 | R | Trimethoprim/sulfamethoxazole | >2/38 | R | >2/38 | R | Minocycline | 0.064 | S | ≤1 | S | Meropenem | >32 | R | — | — | Tigecycline | — | — | 2 | — | Moxifloxacin | 0.094 | — | — | — | Eravacycline | — | — | 0.75 | — |
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HD, hospital day.
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