Publications by authors named "Ellie Jc Goldstein"

Article Synopsis
  • - Histoplasmosis is a fungal infection typically treated with amphotericin B and itraconazole, but a 70-year-old man with rheumatoid arthritis faced complications such as severe diarrhea and an allergic reaction to standard treatments.
  • - Unable to absorb itraconazole, the patient was successfully treated with isavuconazole and steroids, leading to a full recovery.
  • - A literature review suggests isavuconazole may be effective for treating histoplasmosis in cases where conventional therapies are ineffective or cannot be used, although it shouldn’t be used for meningitis.
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The in vitro activity of 13 antimicrobials against clinical isolates of Gemella morbillorum showed good susceptibility to clindamycin, all beta-lactams agents studied except cefoxitin (MIC 4 μg/ml) and fluoroquinolones. There was 36% metronidazole resistance.

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Bulleidia extructa is a rarely recognized anaerobic Gram-positive bacterium with an oral and gastroenterological ecological niche. It is difficult to isolate due to slow growth in culture and usually requires identification techniques such as 16S rRNA gene sequencing or matrix-assisted laser desorption/ionization time of flight mass spectrometry (MALDI-TOF MS). While most often isolated from infections related to the oral cavity (gingivitis, periodontitis, brain and lung abscess), it has also been recovered from cases of prosthetic joint hip infections after unprophylaxed dental procedures.

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Necrotizing soft tissue infections occur after traumatic injuries, minor skin lesions, nonpenetrating injuries, natural childbirth, and in postsurgical and immunocompromised patients. Infections can be severe, rapidly progressive, and life threatening. Survivors often endure multiple surgeries and prolonged hospitalization and rehabilitation.

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The objective of this study was to determine the pharmacodynamic (PD) activity of moxifloxacin against four selected Bacteroides fragilis strains (three strains with low MICs and one strain with a high MIC) and two Escherichia coli strains (one strain with a low MIC and one strain with a high MIC) in a pharmacokinetic (PK) in vitro model in pure cultures as well as in mixed cultures. PK/PD assays of moxifloxacin were carried out with an initial maximum concentration of 4.0 mg l-1 and a half-life of 13 h.

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