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We describe a case of limb-threatening osteomyelitis and metalware infection with carbapenemase-producing extensively drug-resistant Pseudomonas aeruginosa successfully cured with aggressive surgical debridement and combined intravenous fosfomycin and colistin. Real-time therapeutic drug monitoring was used to maximize probability of efficacy and minimize potential for toxicity.

open forum infectious diseases

Cure of Limb-Threatening XDR <i>Pseudomonas aeruginosa</i> Infection: Combining Genome Sequencing, Therapeutic Drug Level Monitoring, and Surgical Debridement

Cure of Limb-Threatening XDR Pseudomonas aeruginosa Infection: Combining Genome Sequencing, Therapeutic Drug Level Monitoring, and Surgical Debridement