TABLE 1.
Details | Comments | |
Country of birth | India | |
Age | 39 years | |
Sex | Female | |
Body weight at diagnosis# | 65 kg | |
Case category | Retreatment case | |
Number of previous anti-TB treatments | 4 | |
Drugs administered in previous anti-TB treatments | Kanamycin 750 mg i.m. (12 months) Levofloxacin 1 g, PAS 10 g, cycloserine 750 mg, ethionamide 750 mg, capreomycin 1 g i.m. (14 months) High-dose isoniazid 900 mg, rifabutin 300 mg, clofazimine 200 mg, clarithromycin 1 g, amoxicillin/clavulanate 625 mg, terizidone 1 g three times daily, imipenem 500 mg i.v. three times daily (12 months), linezolid 600 mg then 300 mg |
|
Previous outcome | Cured (twice) | |
Body mass index at baseline | 26.9 kg·m−2 | |
Bacteriology at baseline | Sputum smear positive Culture positive Xpert positive |
At Day 18: smear negative Culture taken after 28 days of treatment: ongoing (negative on the 14th day of MGIT culture) |
Radiology | Bilateral upper zones fibrocavitary lesions | |
Drug resistances | Resistant to 12 drugs: Isoniazid, rifampicin, kanamycin, amikacin, capreomycin, moxifloxacin, ofloxacin, ethionamide, PAS, linezolid, high-dose isoniazid, high-dose moxifloxacin Susceptible to: clofazimine |
|
Last treatment regimen | Delamanid, bedaquiline, clofazimine (200 mg), terizidone (1 g) and meropenem 1 g three times daily plus amoxicillin/clavulanate 1 g/200 mg three times daily i.v., all started on February 25, 2016 | Bedaquiline stopped on March 7, 2016, restarted March 12, 2016 |
TB: tuberculosis; PAS: para-aminosalicylic acid; i.m.: intramuscular; i.v.: intravenous; MGIT: mycobacteria growth indicator tube. #: August 31, 2015.