A Case of Daptomycin-Induced Acute Eosinophilic Pneumonitis

Authors

  • Peter Iskander, MD The Wright Center for GME, Scranton, PA https://orcid.org/0000-0002-4437-7972
  • Aadhya Shenoy, MD The Wright Center for GME, Scranton, PA
  • Bhavika Gottipati, MD The Wright Center for GME, Scranton, PA
  • Natasha Khalid, MD The Wright Center for GME, Scranton, PA
  • Santosh Khanal, MD The Wright Center for GME, Scranton, PA
  • Shivangi Patel, MD The Wright Center for GME, Scranton, PA
  • Kavitha Singaravel The Wright Center for GME, Scranton, PA
  • Gary Decker MD Regional Hospital of Scranton, Scranton, PA
  • Milos Babic MD The Wright Center for GME, Scranton, PA

Keywords:

Daptomycin, Acute Eosinophilic Pneumoinitis

Abstract

Daptomycin is currently an FDA-approved treatment for various infections, whether they be blood or skin-related. One noted complication is the development of acute eosinophilic pneumonitis which can lead to worsening respiratory complications. Mainstay treatment is to discontinue the offending agent, administer steroids, and conservative management to target respiratory symptoms. We present a case of a patient experiencing increasing oxygen requirements, ultimately requiring intubation, after initiating Daptomycin for a prosthetic joint infection. The antibiotic was discontinued, he was treated with IV steroids and was eventually able to be weaned off the ventilator. Care should be taken when initiating such antibiotics in patients with compromised health. Vitals and respiratory status should be closely monitored and there should be a low threshold for discontinuing the medication should they worsen.

References

Daptomycin for injection - accessdata.fda.gov. (n.d.). https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/208385s005lbl.pdf

Hayes D Jr, Anstead MI, Kuhn RJ. Eosinophilic pneumonia induced by daptomycin. J Infect. 2007 Apr;54(4):e211-3. Doi: 10.1016/j.jinf.2006.11.006. Epub 2007 Jan 17. PMID: 17207858.

Hassett MR. Daptomycin-induced eosinophilic pneumonia. JAAPA. 2024 Apr 1;37(4):1- 4. doi: 10.1097/01.JAA.0001005632.20281.96. Epub 2024 Mar 26. PMID: 38531037

Portalatin, G. M., Chin, J. A., Foster, B., Perry, K., & McWilliams, C. (2021). DaptomycinInduced Acute Eosinophilic Pneumonia. Cureus, 13(2), e13509. https://doi.org/10.7759/cureus.13509

Andrea Di Lorenzo, Lorenzo Vittorio Rindi, Laura Campogiani, Alessandra Imeneo, Grazia Alessio, Pier Giorgio Pace, Alessandra Lodi, Benedetta Rossi, Angela Maria Antonia Crea, Pietro Vitale, Dimitra Kontogiannis, Vincenzo Malagnino, Massimo Andreoni, Marco Iannetta, Loredana Sarmati; Daptomycin-Induced Eosinophilic Pneumonia: A Case Report and Systematic Review. Chemotherapy 2023; https://doi.org/10.1159/000535190

Silverman JA, Mortin LI, Vanpraagh AD, Li T, Alder J. Inhibition of daptomycin by pulmonary surfactant: in vitro and clinical impact. J Infect Dis. 2005 Jun 15;191(12):2149-52. doi: 10.1086/430352. Epub 2005 May 5. PMID: 15898002.

Patel YI, Natarajan S, Ramakrishna S, Ochieng P. Daptomycin-Induced Pulmonary Toxicity: A Case Series. Cureus. 2023 May 28;15(5):e39613. doi: 10.7759/cureus.39613. PMID: 37384075; PMCID: PMC10299848.

Uppal P, LaPlante KL, Gaitanis MM, Jankowich MD, Ward KE. Daptomycin-induced eosinophilic pneumonia - a systematic review. Antimicrob Resist Infect Control. 2016 Dec 12;5:55. Doi: 10.1186/s13756-016-0158-8. PMID: 27999664; PMCID: PMC5153904.

De Giacomi, F., Vassallo, R., Yi, E. S., & Ryu, J. H. (2018). Acute Eosinophilic Pneumonia. Causes, Diagnosis, and Management. American journal of respiratory and critical care medicine, 197(6), 728–736. https://doi.org/10.1164/rccm.201710-1967CI

Truong-Thanh, P., Romain, G., Fabien, C., Vincent, C., Benoît Ben Said, S.G., Tristan, F., on behalf of the Lyon Bone and Joint Infection Study Group, Seventeen Cases of Daptomycin-Induced Eosinophilic Pneumonia in a Cohort of Patients Treated for Bone and Joint Infections: Proposal for a New Algorithm, Open Forum Infectious Diseases,

Volume 9, Issue 11, November 2022, ofac577, https://doi.org/10.1093/ofid/ofac577

Kumar, S., Acosta-Sanchez, I., & Rajagopalan, N. (2018). Daptomycin-induced acute eosinophilic pneumonia. Cureus, 10(6).

Rhee, C. K., Min, K. H., Yim, N. Y., Lee, J. E., Lee, N. R., Chung, M. P., & Jeon, K. (2013). Clinical characteristics and corticosteroid treatment of acute eosinophilic pneumonia. The European Respiratory Journal, 41(2), 402–409. https://doi.org/10.1183/09031936.0022181

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Published

2024-06-30

How to Cite

Iskander, P., Shenoy, A., Gottipati, B., Khalid, N., Khanal, S., Patel, S., Singaravel, K., Decker, G., & Babic, M. (2024). A Case of Daptomycin-Induced Acute Eosinophilic Pneumonitis . The Scholarly Society of America, 3(1), 29–33. Retrieved from http://ssajm-online.org/ojs/index.php/SSAJM/article/view/25

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Case Reports

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