Although resistance to MNZ, PIPC/TAZ, and carbapenems was once deemed exceedingly rare, recent global reports have suggested an increasing trend in the resistance of B. fragilis isolates to carbapenem antibiotics [ 23 – 26 ].
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A case of multidrug-resistant intractable pylephlebitis and intra-abdominal abscess due to perforated appendicitis successfully treated with open abdominal management.
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