Amikacin Monotherapy for Peripherally Inserted Central Catheter-Related Bloodstream Infection due to Tsukamurella pulmonis

Abstract

Although amikacin monotherapy seems to have provided clinical success, we cannot exclude the possibility that line removal alone was responsible for this infection's resolution. Others have similarly observed the persistence of T. pulmonis bacteremia despite adequate antibiotic coverage until catheter removal. 8 This case of T. pulmonis bacteremia contributes to the growing literature on this rare microorganism. It highlights the importance of line removal for effective blood culture clearance and supports the role of amikacin in treatment. Future studies are needed to further understand the optimal susceptibility methods and appropriate treatment regimens for T. pulmonis.