Cefiderocol Red Wine Urine Syndrome in Pediatric Patients: A Multicenter Case Series

Author:

Shapiro Kate12ORCID,Ungar Stephanie P.3,Krugman Jessica3,McGarrity Orlagh4,Cross Shane J.5,Indrakumar Bairavi6,Hatcher James6,Ratner Adam J.3,Wolf Joshua12ORCID

Affiliation:

1. From the Department of Infectious Diseases, St. Jude Children’s Research Hospital, Memphis, Tennessee

2. Department of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee

3. Department of Pediatrics, New York University Grossman School of Medicine, New York City, New York

4. Department of Pharmacy, Great Ormond Street Hospital for Children, London, United Kingdom

5. Department of Pharmacy and Pharmaceutical Sciences, St. Jude Children’s Research Hospital, Memphis, Tennessee

6. Department of Microbiology, Great Ormond Street Hospital for Children, London, United Kingdom.

Abstract

Cefiderocol is a novel cephalosporin antibiotic with activity against multidrug-resistant gram-negative bacteria and limited pediatric experience. This case series describes 3 immunocompromised children receiving blood transfusion who developed benign red or purple urine with administration of cefiderocol. Interaction with iron from blood products is a possible mechanism. It is important to recognize this phenomenon and distinguish it from hematuria to avoid unnecessary diagnostic testing.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Infectious Diseases,Microbiology (medical),Pediatrics, Perinatology and Child Health

Reference10 articles.

1. Treatment options for carbapenem-resistant gram-negative bacterial infections.;Doi;Clin Infect Dis,2019

2. Dark red urine in a patient on cefiderocol and ferric gluconate.;Lewis;Ann Pharmacother,2022

3. Dark brown urine in a patient treated with cefiderocol.;Lupia;Infez Med,2023

4. Purple urine bag syndrome: an alarming hue? A brief review of the literature.;Khan;Int J Nephrol,2011

5. Purple urine bag syndrome.;Al Montasir;J Family Med Prim Care,2013

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