Table 3.

Summary of Initial antibiotic therapy and clinical outcomes in 20 Cases

No.Initial RegimenCommentDuration of Therapy, dTreatment FailureRejection After TreatmentOutcome
1Clarithromycin, levofloxacin, and tigecyclineAfter initial treatment, tigecycline caused transaminitis and levofloxacin was stopped based on susceptibility result. But treatment was terminated in about 25 d because it was thought that M abscessus was contaminated.25NoYesAlive
2Not treatedNot treatedNot treatedNoYesAlive
3Azithromycin, cefoxitin, and tigecyclineInitial regimen was continued for 3 mo, and then it was stepped down to azithromycin and tigecycline.297NoYesDead
4Azithromycin, imipenem-cilastatin, and tigecyclineAfter the initial treatment was started, imipenem-cilastatin was switched to cefoxitin 2 d later. Then the patient was discharged to other facility and there was no further follow-up in our system.NANANANA
5Not treatedNot treatedNot treatedNoNoAlive
6Not treatedNot treatedNot treatedNoNoAlive
7Azithromycin, cefoxitin, and tigecyclineInitial treatment was continued without any significant side effect.20NoNoDead
8Azithromycin, cefoxitin, and tigecyclineInitial regimen was switched to azithromycin, imipenem-cilastatin, and cefoxitin because of transaminitis. The patient had been on the 3 medications for 8 mo and then azithromycin and imipenem-cilastatin were continued additional 10 mo for relapse.523NoYesAlive
9Not treatedThe patient was not treated as infection. Azithromycin was given as prophylaxis.202NoYesAlive
10Not treatedNot treatedNot treatedNoYesAlive
11Azithromycin, cefoxitin, and tigecyclineThe initial regimen was switched to azithromycin, imipenem-cilastatin, and linezolid in 4 d. But the further information was missing.NANoNoAlive
12Azithromycin, imipenem-cilastatin, and cefoxitinThe initial regimen was switched to azithromycin, tigecycline, and amikacin. The patient died of the event not related to M abscessus infection.87YesNoDead
13Azithromycin, cefoxitin, and amikacinAfter the initial treatment, amikacin was stopped in 1 mo, then the regimen was switched to azithromycin, cefoxitin, and tigecycline. The treatment was stopped in 4 mo. After the treatment, the infection relapsed.136NoYesDead
14Azithromycin, cefoxitin, and tigecyclineThe initial treatment was switched to azithromycin, imipenem-cilastatin, and inhaled amikacin because tigecycline caused transaminitis and imipenem-cilastatin was started for treating Achromobacter infection.184YesNoAlive
15Azithromycin, cefoxitin, and amikacinThe initial treatment was switched to azithromycin, cefoxitin, and tigecycline because amikacin caused hearing loss. After that, tigecycline caused transaminitis and it was switched to inhale amikacin. Inhale amikacin was complicated with bronchospasm.186NoNoAlive
16Azithromycin, cefoxitin, and tigecyclineThe initial regimen was continued, but tigecycline caused nausea and vomiting. Then the dose of tigecycline was decreased, but it caused transaminitis. The regimen was switched to azithromycin, cefoxitin, and inhaled amikacin.220NoYesAlive
17Azithromycin, imipenem-cilastatin, and tigecyclineThe initial regimen was complicated with transaminitis likely due to azithromycin and/or tigecycline, and it was switched to inhaled amikacin, imipenem-cilastatin and linezolid. After that, inhaled amikacin was stopped because of worsening respiratory status, and linezolid caused thrombocytopenia. Imipenem-cilastatin and azithromycin were continued.296YesNoAlive
18Clarithromycin, tigecycline, and amikacinAfter the initial treatment, clarithromycin was switched to azithromycin and tigecycline was switched to cefoxitin due to pancreatitis. And amikacin was stopped because of acute kidney injury. Meantime cefoxitin was initiated but finally clofazimine and imipenem-cilastatin were continued.91YesNoDead
19Not treatedNot treatedNot treatedNANoAlive
20Not treatedNot treatedNot treatedNANoAlive
No.Initial RegimenCommentDuration of Therapy, dTreatment FailureRejection After TreatmentOutcome
1Clarithromycin, levofloxacin, and tigecyclineAfter initial treatment, tigecycline caused transaminitis and levofloxacin was stopped based on susceptibility result. But treatment was terminated in about 25 d because it was thought that M abscessus was contaminated.25NoYesAlive
2Not treatedNot treatedNot treatedNoYesAlive
3Azithromycin, cefoxitin, and tigecyclineInitial regimen was continued for 3 mo, and then it was stepped down to azithromycin and tigecycline.297NoYesDead
4Azithromycin, imipenem-cilastatin, and tigecyclineAfter the initial treatment was started, imipenem-cilastatin was switched to cefoxitin 2 d later. Then the patient was discharged to other facility and there was no further follow-up in our system.NANANANA
5Not treatedNot treatedNot treatedNoNoAlive
6Not treatedNot treatedNot treatedNoNoAlive
7Azithromycin, cefoxitin, and tigecyclineInitial treatment was continued without any significant side effect.20NoNoDead
8Azithromycin, cefoxitin, and tigecyclineInitial regimen was switched to azithromycin, imipenem-cilastatin, and cefoxitin because of transaminitis. The patient had been on the 3 medications for 8 mo and then azithromycin and imipenem-cilastatin were continued additional 10 mo for relapse.523NoYesAlive
9Not treatedThe patient was not treated as infection. Azithromycin was given as prophylaxis.202NoYesAlive
10Not treatedNot treatedNot treatedNoYesAlive
11Azithromycin, cefoxitin, and tigecyclineThe initial regimen was switched to azithromycin, imipenem-cilastatin, and linezolid in 4 d. But the further information was missing.NANoNoAlive
12Azithromycin, imipenem-cilastatin, and cefoxitinThe initial regimen was switched to azithromycin, tigecycline, and amikacin. The patient died of the event not related to M abscessus infection.87YesNoDead
13Azithromycin, cefoxitin, and amikacinAfter the initial treatment, amikacin was stopped in 1 mo, then the regimen was switched to azithromycin, cefoxitin, and tigecycline. The treatment was stopped in 4 mo. After the treatment, the infection relapsed.136NoYesDead
14Azithromycin, cefoxitin, and tigecyclineThe initial treatment was switched to azithromycin, imipenem-cilastatin, and inhaled amikacin because tigecycline caused transaminitis and imipenem-cilastatin was started for treating Achromobacter infection.184YesNoAlive
15Azithromycin, cefoxitin, and amikacinThe initial treatment was switched to azithromycin, cefoxitin, and tigecycline because amikacin caused hearing loss. After that, tigecycline caused transaminitis and it was switched to inhale amikacin. Inhale amikacin was complicated with bronchospasm.186NoNoAlive
16Azithromycin, cefoxitin, and tigecyclineThe initial regimen was continued, but tigecycline caused nausea and vomiting. Then the dose of tigecycline was decreased, but it caused transaminitis. The regimen was switched to azithromycin, cefoxitin, and inhaled amikacin.220NoYesAlive
17Azithromycin, imipenem-cilastatin, and tigecyclineThe initial regimen was complicated with transaminitis likely due to azithromycin and/or tigecycline, and it was switched to inhaled amikacin, imipenem-cilastatin and linezolid. After that, inhaled amikacin was stopped because of worsening respiratory status, and linezolid caused thrombocytopenia. Imipenem-cilastatin and azithromycin were continued.296YesNoAlive
18Clarithromycin, tigecycline, and amikacinAfter the initial treatment, clarithromycin was switched to azithromycin and tigecycline was switched to cefoxitin due to pancreatitis. And amikacin was stopped because of acute kidney injury. Meantime cefoxitin was initiated but finally clofazimine and imipenem-cilastatin were continued.91YesNoDead
19Not treatedNot treatedNot treatedNANoAlive
20Not treatedNot treatedNot treatedNANoAlive

Abbreviations: M abscessus, Mycobacterium abscessus; NA, not applicable.

Table 3.

Summary of Initial antibiotic therapy and clinical outcomes in 20 Cases

No.Initial RegimenCommentDuration of Therapy, dTreatment FailureRejection After TreatmentOutcome
1Clarithromycin, levofloxacin, and tigecyclineAfter initial treatment, tigecycline caused transaminitis and levofloxacin was stopped based on susceptibility result. But treatment was terminated in about 25 d because it was thought that M abscessus was contaminated.25NoYesAlive
2Not treatedNot treatedNot treatedNoYesAlive
3Azithromycin, cefoxitin, and tigecyclineInitial regimen was continued for 3 mo, and then it was stepped down to azithromycin and tigecycline.297NoYesDead
4Azithromycin, imipenem-cilastatin, and tigecyclineAfter the initial treatment was started, imipenem-cilastatin was switched to cefoxitin 2 d later. Then the patient was discharged to other facility and there was no further follow-up in our system.NANANANA
5Not treatedNot treatedNot treatedNoNoAlive
6Not treatedNot treatedNot treatedNoNoAlive
7Azithromycin, cefoxitin, and tigecyclineInitial treatment was continued without any significant side effect.20NoNoDead
8Azithromycin, cefoxitin, and tigecyclineInitial regimen was switched to azithromycin, imipenem-cilastatin, and cefoxitin because of transaminitis. The patient had been on the 3 medications for 8 mo and then azithromycin and imipenem-cilastatin were continued additional 10 mo for relapse.523NoYesAlive
9Not treatedThe patient was not treated as infection. Azithromycin was given as prophylaxis.202NoYesAlive
10Not treatedNot treatedNot treatedNoYesAlive
11Azithromycin, cefoxitin, and tigecyclineThe initial regimen was switched to azithromycin, imipenem-cilastatin, and linezolid in 4 d. But the further information was missing.NANoNoAlive
12Azithromycin, imipenem-cilastatin, and cefoxitinThe initial regimen was switched to azithromycin, tigecycline, and amikacin. The patient died of the event not related to M abscessus infection.87YesNoDead
13Azithromycin, cefoxitin, and amikacinAfter the initial treatment, amikacin was stopped in 1 mo, then the regimen was switched to azithromycin, cefoxitin, and tigecycline. The treatment was stopped in 4 mo. After the treatment, the infection relapsed.136NoYesDead
14Azithromycin, cefoxitin, and tigecyclineThe initial treatment was switched to azithromycin, imipenem-cilastatin, and inhaled amikacin because tigecycline caused transaminitis and imipenem-cilastatin was started for treating Achromobacter infection.184YesNoAlive
15Azithromycin, cefoxitin, and amikacinThe initial treatment was switched to azithromycin, cefoxitin, and tigecycline because amikacin caused hearing loss. After that, tigecycline caused transaminitis and it was switched to inhale amikacin. Inhale amikacin was complicated with bronchospasm.186NoNoAlive
16Azithromycin, cefoxitin, and tigecyclineThe initial regimen was continued, but tigecycline caused nausea and vomiting. Then the dose of tigecycline was decreased, but it caused transaminitis. The regimen was switched to azithromycin, cefoxitin, and inhaled amikacin.220NoYesAlive
17Azithromycin, imipenem-cilastatin, and tigecyclineThe initial regimen was complicated with transaminitis likely due to azithromycin and/or tigecycline, and it was switched to inhaled amikacin, imipenem-cilastatin and linezolid. After that, inhaled amikacin was stopped because of worsening respiratory status, and linezolid caused thrombocytopenia. Imipenem-cilastatin and azithromycin were continued.296YesNoAlive
18Clarithromycin, tigecycline, and amikacinAfter the initial treatment, clarithromycin was switched to azithromycin and tigecycline was switched to cefoxitin due to pancreatitis. And amikacin was stopped because of acute kidney injury. Meantime cefoxitin was initiated but finally clofazimine and imipenem-cilastatin were continued.91YesNoDead
19Not treatedNot treatedNot treatedNANoAlive
20Not treatedNot treatedNot treatedNANoAlive
No.Initial RegimenCommentDuration of Therapy, dTreatment FailureRejection After TreatmentOutcome
1Clarithromycin, levofloxacin, and tigecyclineAfter initial treatment, tigecycline caused transaminitis and levofloxacin was stopped based on susceptibility result. But treatment was terminated in about 25 d because it was thought that M abscessus was contaminated.25NoYesAlive
2Not treatedNot treatedNot treatedNoYesAlive
3Azithromycin, cefoxitin, and tigecyclineInitial regimen was continued for 3 mo, and then it was stepped down to azithromycin and tigecycline.297NoYesDead
4Azithromycin, imipenem-cilastatin, and tigecyclineAfter the initial treatment was started, imipenem-cilastatin was switched to cefoxitin 2 d later. Then the patient was discharged to other facility and there was no further follow-up in our system.NANANANA
5Not treatedNot treatedNot treatedNoNoAlive
6Not treatedNot treatedNot treatedNoNoAlive
7Azithromycin, cefoxitin, and tigecyclineInitial treatment was continued without any significant side effect.20NoNoDead
8Azithromycin, cefoxitin, and tigecyclineInitial regimen was switched to azithromycin, imipenem-cilastatin, and cefoxitin because of transaminitis. The patient had been on the 3 medications for 8 mo and then azithromycin and imipenem-cilastatin were continued additional 10 mo for relapse.523NoYesAlive
9Not treatedThe patient was not treated as infection. Azithromycin was given as prophylaxis.202NoYesAlive
10Not treatedNot treatedNot treatedNoYesAlive
11Azithromycin, cefoxitin, and tigecyclineThe initial regimen was switched to azithromycin, imipenem-cilastatin, and linezolid in 4 d. But the further information was missing.NANoNoAlive
12Azithromycin, imipenem-cilastatin, and cefoxitinThe initial regimen was switched to azithromycin, tigecycline, and amikacin. The patient died of the event not related to M abscessus infection.87YesNoDead
13Azithromycin, cefoxitin, and amikacinAfter the initial treatment, amikacin was stopped in 1 mo, then the regimen was switched to azithromycin, cefoxitin, and tigecycline. The treatment was stopped in 4 mo. After the treatment, the infection relapsed.136NoYesDead
14Azithromycin, cefoxitin, and tigecyclineThe initial treatment was switched to azithromycin, imipenem-cilastatin, and inhaled amikacin because tigecycline caused transaminitis and imipenem-cilastatin was started for treating Achromobacter infection.184YesNoAlive
15Azithromycin, cefoxitin, and amikacinThe initial treatment was switched to azithromycin, cefoxitin, and tigecycline because amikacin caused hearing loss. After that, tigecycline caused transaminitis and it was switched to inhale amikacin. Inhale amikacin was complicated with bronchospasm.186NoNoAlive
16Azithromycin, cefoxitin, and tigecyclineThe initial regimen was continued, but tigecycline caused nausea and vomiting. Then the dose of tigecycline was decreased, but it caused transaminitis. The regimen was switched to azithromycin, cefoxitin, and inhaled amikacin.220NoYesAlive
17Azithromycin, imipenem-cilastatin, and tigecyclineThe initial regimen was complicated with transaminitis likely due to azithromycin and/or tigecycline, and it was switched to inhaled amikacin, imipenem-cilastatin and linezolid. After that, inhaled amikacin was stopped because of worsening respiratory status, and linezolid caused thrombocytopenia. Imipenem-cilastatin and azithromycin were continued.296YesNoAlive
18Clarithromycin, tigecycline, and amikacinAfter the initial treatment, clarithromycin was switched to azithromycin and tigecycline was switched to cefoxitin due to pancreatitis. And amikacin was stopped because of acute kidney injury. Meantime cefoxitin was initiated but finally clofazimine and imipenem-cilastatin were continued.91YesNoDead
19Not treatedNot treatedNot treatedNANoAlive
20Not treatedNot treatedNot treatedNANoAlive

Abbreviations: M abscessus, Mycobacterium abscessus; NA, not applicable.

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