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. 2023 Jun 20;109(2):356–367. doi: 10.4269/ajtmh.23-0168

Table 2.

Summary of clinical cases of Cedecea lapagei

Author Year Country Age Sex Medical diagnosis Clinical presentation Comorbidities Diagnostic method Antimicrobial susceptibility testing (antibiogram) Antibiotic treatment Outcome
Duperret et al.14 2020 United States 45 Male Sinusitis Foul rhinorrhea, sinus headache, and fever Asthma Culture from purulent nasal secretions Resistant to: amoxicillin/clavulanate, ampicillin, and cefazolin Sensitive to: ciprofloxacin, gentamicin, meropenem, tetracycline, and tobramycin Intermediate sensitivity to: cefuroxime Oral ciprofloxacin + nasal gentamicin/dexamethasone Patient recovered (discharged)
Hai et al.7 2020 Vietnam 38 Male Pneumonia and septic shock Fatigue, cough, sputum, myalgia, fever, and shortness of breath Diabetes mellitus type 2 Sputum culture Resistant to: trimethoprim/ sulfamethoxazole Sensitive to: piperacillin/ tazobactam, ceftazidime, ceftriaxone, cefazolin, cefoxitin, aztreonam, imipenem, meropenem, amikacin, gentamicin, tobramycin, levofloxacin, and ciprofloxacin Intermediate sensitivity to: piperacillin IV meropenem + IV ciprofloxacin Patient recovered (discharged)
Ramaswamy et al.15 2019 India 35 days Male Nosocomial pneumonia and sepsis Poor peripheral pulses, lethargy, fever, and severe respiratory distress Late preterm Blood culture Resistant to: meropenem, colistin, amikacin, gentamycin, and ceftazidime Sensitive to: piperacillin, piperacillin/ tazobactam, trimethoprim/ sulfamethoxazole, ciprofloxacin, and levofloxacin IV piperacillin/ tazobactam Patient recovered (discharged)
Chavez Herrera et al.16 2018 Mexico 52 Male Infection of hemorrhagic bullae causing necrotizing fasciitis and septic shock Fever, pain, edema in his right lower limb, and multiple organ failure Liver cirrhosis and treated hypertension Bullae fluid culture Resistant to: ampicillin, cefazolin, and imipenem Sensitive to: amikacin, aztreonam, ceftriaxone, ceftazidime, cefotaxime, ciprofloxacin, cefepime, cefuroxime, cefotetan, gentamicin, levofloxacin, meropenem, moxifloxacin, and piperacillin/ tazobactam Intermediate sensitivity to: ampicillin/sulbactam IV clindamycin + IV ceftriaxone Death
Kury et al.17 2017 Brazil 110 days Male Ventilator-associated pneumonia and sepsis Fever and yellow sputum Ischemic encephalopathy sequelae and chronic lung disease Cultures from blood and tracheal aspirates Resistant to: NR Sensitive to: piperacillin, imipenem, amikacin, gentamycin, ciprofloxacin, levofloxacin, meropenem, and trimethoprim/ sulfamethoxazole IV meropenem Patient recovered (discharged)
Biswal et al.18 2015 India 50 Male Ulcer and pus formation at the cancer site Fever and pain at the local site of ulcer, radiating to ear and forehead Squamous cell carcinoma of the right buccal mucosa undergoing chemotherapy Culture of pus samples from the ulcer site Resistant to: ampicillin/sulbactam, tetracycline, and tigecycline Sensitive to: amikacin, gentamicin, ceftazidime, ceftriaxone, cefepime, ciprofloxacin, meropenem, and trimethoprim/ sulfamethoxazole IV ciprofloxacin Patient recovered (discharged)
Salazar et al.6 2013 Ecuador 24 Male Traumatic wound infection Fever, poor condition of healing tissue, increased discharge, and bad odor No comorbidities Culture of secretion obtained from granulation tissue Resistant to: ampicillin and ampicillin/ sulbactam Sensitive to: cefuroxime, amikacin, trimethoprim/ sulfamethoxazole, ciprofloxacin, cefotaxime, carbapenems IV ampicillin/sulbactam Patient recovered (discharged)
Hong et al.19 2015 South Korea 76 Male Pneumonia Fever and dyspnea Chronic obstructive pulmonary disease Sputum culture Resistant to: amoxicillin/clavulanate and cefoxitin Sensitive to: piperacillin, cefotaxime, ceftazidime, cefepime, imipenem, amikacin, ciprofloxacin, tetracycline, and trimethoprim/ sulfamethoxazole IV cefpodoxime Patient recovered (discharged)
Sanchez-Lopez et al.5 2013 Mexico 34 Male Pneumonia Fever, dyspnea, bilateral alveolar infiltrates, copious yellow sputum, and disseminated intravascular coagulation Acute promyelocytic leukemia Sputum culture Resistant to: amikacin, ampicillin, aztreonam, cefazolin, cefepime, ceftriaxone, ciprofloxacin, ertapenem, imipenem, meropenem, moxifloxacin, nitrofurantoin, piperacillin/ tazobactam, and trimethoprim/ sulfamethoxazole Sensitive to: tigecycline Intermediate sensitivity to: ampicillin/sulbactam, gentamicin, and tobramycin IV cefepime + IV vancomycin Patient recovered (discharged)
Yetkin et al.20 2008 Turkey 38 Male Pneumonia from the aspiration of upper airway secretion Fever, dyspnea Subarachnoid hemorrhage and chronic obstructive pulmonary disease Culture from bronchoalveolar lavage fluid Resistant to: amoxicillin, ampicillin, amoxicillin/clavulonate, and cephalothin Sensitive to: amikacin, ciprofloxacin, trimethoprim/ sulfamethoxazole, imipenem, aztreonam, cefepime, ceftriaxone, ceftazidime, cefotaxime, cefuroxime, piperacillin / tazobactam, gentamicin, piperacillin, and tetracycline IV amikacin + IV vancomycin + IV meropenem Death
Dalamaga et al.21 2008 Greece 47 Male Wound infection Fever, full-thickness burns in the right knee, and erythema, vesicles, and ulcerations in the left knee Diabetes mellitus type 2 Blood and wound cultures Resistant to: gentamicin, tobramycin, cephalothin, cefuroxime, cefoxitin, ceftazidime, tetracycline, and ampicillin Sensitive to: amikacin, meropenem, cefotaxime, cefepime, aztreonam, amoxicillin/clavulanate, piperacillin/tazobactam, trimethoprim/ sulfamethoxazole, ciprofloxacin, and levofloxacin IV cefotaxime + IV amikacin Patient recovered (discharged)
Davis and Wall4 2006 United States 55 Male Peritonitis Fever, abdominal pain, and cloudy dialysis effluent Hypertension, orthotopic liver transplantation secondary to cirrhosis related to hepatitis C, continuous peritoneal dialysis, and end-stage renal disease secondary to glomerular disease Culture from peritoneal fluid NR IV vancomycin + IV gentamicin Patient recovered (discharged)
Mohamud et al.22 2022 Somalia 55 Male Urinary tract infection Acute exacerbations of renal failure and irritative voiding symptoms Chronic renal failure, uncontrolled diabetes mellitus type 2, and hypertension Culture from urine Resistant to: ceftriaxone, cefazolin, ceftazidime, cefixime, ampicillin, and amoxicillin/clavulanate Sensitive to: amikacin, gentamicin, trimethoprim/ sulfamethoxazole, ciprofloxacin, levofloxacin, imipenem, and ertapenem Oral levofloxacin Patient recovered (discharged)
Cárdenas et al.23 2015 Colombia 47 Male Acute osteomyelitis Fever, edema, and erythema in the surgical area No comorbidities Culture from bone biopsy Sensitive to: ertapenem IV oxacillin + rifampicin empirically, switched to ertapenem after culture Patient recovered (discharged)
Arellano Aguilar et al.28 2016 Mexico 67 Female Bacteremia and burns on 20% of body surface Burns in the granulation stage with moderate edema Diabetes mellitus type 1, hypertension, and dyslipidemia Culture from bronchial aspirate and blood culture Resistant to: ampicillin, amikacin, and piperacillin/ tazobactam Sensitive to: meropenem and imipenem IV piperacillin/ tazobactam + caspofungin initially, switched to linezolid on day 20 + imipenem/cilastatin on day 24 Patient recovered (discharged)
Çekin et al.24 2014 Turkey 40 Male Urinary tract infection Fever Quadriplegia and use of urinary catheter Culture from urine Resistant to: ampicillin, gentamicin, tobramycin, cefazolin, cephalothin, amikacin, ampicillin/sulbactam, ertapenem, imipenem, meropenem, piperacillin, piperacillin/ tazobactam, cefepime, cefoxitin, cefotaxime, cefuroxime, and aztreonam Sensitive to: ciprofloxacin, levofloxacin, and trimethoprim/ sulfamethoxazole IV ciprofloxacin Patient recovered (discharged)
Islam et al.25 2016 India First hours of life Female Sepsis with pneumonia Respiratory distress immediately after birth Meconium-stained amniotic fluid and low birth weight Blood culture Resistant to: amoxicillin/clavulonate, ceftazidime, ceftriaxone, trimethoprim/sulfamethoxazole, gentamycin, cefuroxime, and piperacillin/tazobactam Sensitive to: ciprofloxacin and imipenem IV amikacin + IV ciprofloxacin Patient recovered (discharged)
Ahmad et al.8 2017 India 26 days Female Late-onset sepsis NR Preterm, apnea Blood culture Resistant to: imipenem, meropenem, aztreonam, ceftazidime, cefotaxime, cefoxitin, cefepime, and cefoperazone/sulbactam IV cefotaxime + IV amikacin Patient recovered (discharged)
Deveci and Arpag26 2021 Turkey 76 Male Pneumonia Fever, shortness of breath, cough, sputum, wheezing, and impaired consciousness COVID-19 2 weeks ago Sputum culture Resistant to: amoxicillin/clavulanate, piperacillin/ tazobactam, cefuroxime, cefuroxime acetil, ceftriaxone, ceftazidime, cefepime, amikacin, gentamicin, ciprofloxacin, tigecycline, and colistin Intermediate sensitivity to: meropenem and trimethoprim/ sulfamethoxazole IV meropenem + IV moxifloxacin Patient recovered (discharged)
González Rivera et al.27 2022 Mexico 57 Male Pneumonia and septic shock Fever, dyspnea, decreased amplection, use of accessory musculature with oxygen through nasal prongs at 5 L per minute, increased vocal vibrations on palpation, and bilateral infrascapular crepitant rales HIV treatment discontinuation for the last 3 years Culture from bronchial aspirate Resistant to: ampicillin, gentamicin, tobramycin, cefazolin, cephalothin, amikacin, ampicillin/sulbactam, ertapenem, imipenem, meropenem, piperacillin, cefepime, cefotaxime, cefuroxime, aztreonam, ciprofloxacin, levofloxacin, and trimethoprim/ sulfamethoxazole NR Death

IV = intravenous; NR = not reported. Age is shown as years unless otherwise noted.