New England Journal of Medicine · 2002 · 537 citations · 20 references
Life SciencesInfectious DiseasesPharmacotherapyAntimicrobial PharmacotherapyAntimicrobial ResistanceMedical MicrobiologyAntibacterial PharmacotherapyAntibacterial ResistanceAntibiotic ResistanceAntibiotic Resistance MechanismsBeta-lactam ResistancePneumonia PharmacotherapyAntibiotic Resistance In Respiratory PathogensBacterial Pneumonia TreatmentFluoroquinolone Resistance MechanismsPneumococcal DiseasePneumococcal Pneumonia TreatmentPneumonia Antibiotic TherapyTreatment Of Bacterial Resistance
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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Lionel A. Mandell, Thomas J. Marrie, Ronald F. Grossman et al. · Clinical Infectious Diseases · 2000 · 666 citations · Full text