Resistance to Levofloxacin and Failure of Treatment of Pneumococcal Pneumonia

Ross Davidson, Rodrigo B. Cavalcanti, James Brunton, Darrin J. Bast, Joyce C. S. de Azavedo, Pamela Kibsey, Christine Fleming, Donald E. Low

New England Journal of Medicine · 2002 · 537 citations · 20 references

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Abstract

This report describes four patients with pneumococcal pneumonia in whom empirical treatment with levofloxacin failed. In these patients, the isolates of Streptococcus pneumoniae were resistant to levofloxacin, and in two of them the resistance appeared to have been acquired during the current course of treatment with fluoroquinolones.

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