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Volume 360:439-443 January 29, 2009 Number 5
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Antibiotic-Resistant Bugs in the 21st Century — A Clinical Super-Challenge
Cesar A. Arias, M.D., Ph.D., and Barbara E. Murray, M.D.

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In March 1942, a 33-year-old woman lay dying of streptococcal sepsis in a New Haven, Connecticut, hospital, and despite the best efforts of contemporary medical science, her doctors could not eradicate her bloodstream infection. Then they managed to obtain a small amount of a newly discovered substance called penicillin, which they cautiously injected into her. After repeated doses, her bloodstream was cleared of streptococci, she made a full recovery, and she went on to live to the age of 90.1 Sixty-six years after her startling recovery, a report2 described a 70-year-old man in San Francisco with endocarditis caused by vancomycin-resistant . . . [Full Text of this Article]


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Dr. Arias is an assistant professor of medicine at the University of Texas Medical School, Houston, and director of the Molecular Genetics and Antimicrobial Resistance Unit, Universidad El Bosque, Bogotá, Colombia. Dr. Murray is a professor and the vice-chair for research in the Department of Internal Medicine and the director of the Division of Infectious Diseases, University of Texas Medical School, Houston.


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