{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:28:24Z","timestamp":1790742504585,"version":"4.1.0"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Daptomycin is increasingly used in the treatment of bone and joint infections (BJIs) and may be responsible for daptomycin-induced eosinophilic pneumonia (DIEP), a potentially severe adverse drug reaction. The aim of this study was to describe DIEP in patients treated at a referral center for the management of BJI, and to revisit current definitions of this disease.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patients treated from 1 January 2012 to 31 March 2021 were included in a prospective cohort (NCT02817711), in which all potential serious adverse events are prospectively recorded. Patients diagnosed with DIEP were retrospectively analyzed using different definitions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In a total of 4664 patients included in the cohort during the study period, 1021 patients (21.9%) received daptomycin, of whom 17 (1.7%) were diagnosed with DIEP. Most patients were male (n = 11 [64.7%]), and periprosthetic joint infection was the commonest BJI (n = 12 [70.6%]). Only 1 patient had bronchoalveolar lavage (BAL) eosinophil count \u226525%, while most patients had peripheral blood eosinophilia (n = 15 [88.2%]). Chest computed tomography (CT) was compatible with eosinophilic pneumonia in 13 of 14 cases (92.9%). All patients recovered upon discontinuation of daptomycin. Using the different definitions available, only a minority of cases fulfilled existing criteria for DIEP. We propose a new algorithm that includes specific CT scan signs, and systemic instead of BAL eosinophilia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>DIEP is a rare event that requires prompt discontinuation of the causative antibiotic. Current criteria to diagnose definite DIEP are too restrictive and not easily applicable in clinical practice. A new algorithm is proposed here (Lyon algorithm) to facilitate the early identification of DIEP.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ofid\/ofac577","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T15:22:48Z","timestamp":1667488968000},"source":"Crossref","is-referenced-by-count":20,"title":["Seventeen Cases of Daptomycin-Induced Eosinophilic Pneumonia in a Cohort of Patients Treated for Bone and Joint Infections: Proposal for a New Algorithm"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0284-7080","authenticated-orcid":false,"given":"Truong-Thanh","family":"Pham","sequence":"first","affiliation":[{"name":"Infectious Diseases Department, Croix-Rousse Hospital , Hospices Civils de Lyon, Lyon , France"},{"name":"French Referral Centre for Complex Bone and Joint Infections , Lyon , France"},{"name":"Division of Infectious Diseases, Department of Medicine, Geneva University Hospitals, Geneva , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6605-4808","authenticated-orcid":false,"given":"Romain","family":"Garreau","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Groupement Hospitalier Nord , Hospices Civils de Lyon, Lyon , France"},{"name":"Laboratoire de Biom\u00e9trie et Biologie Evolutive, Universit\u00e9 Lyon, Unit\u00e9s mixtes de recherche (UMR) Centre National de la Recherche Scientifique (CNRS) 5558 , Villeurbanne , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabien","family":"Craighero","sequence":"additional","affiliation":[{"name":"French Referral Centre for Complex Bone and Joint Infections , Lyon , France"},{"name":"Radiology Department, Croix-Rousse Hospital , Hospices Civils de Lyon, Lyon , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5591-0955","authenticated-orcid":false,"given":"Vincent","family":"Cottin","sequence":"additional","affiliation":[{"name":"National Reference Center for Rare Pulmonary Diseases, Louis Pradel Hospital , Hospices Civils de Lyon, Lyon , France"},{"name":"Claude Bernard University Lyon 1, University of Lyon, Institut national de recherche pour l'agriculture, l'alimentation et l'environnement (INRAE), Infections Virales et Pathologie Compar\u00e9e, Unit\u00e9s mixtes de recherche (UMR) 754, European Reference Networks on Respiratory Diseases (ENR-LUNG) , Lyon , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beno\u00eet Ben","family":"Said","sequence":"additional","affiliation":[{"name":"Severe Cutaneous Adverse Reaction Regional Center and Dermatology Department, Edouard Herriot Hospital , Hospices Civils de Lyon, Lyon , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvain","family":"Goutelle","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Groupement Hospitalier Nord , Hospices Civils de Lyon, Lyon , France"},{"name":"Laboratoire de Biom\u00e9trie et Biologie Evolutive, Universit\u00e9 Lyon, Unit\u00e9s mixtes de recherche (UMR) Centre National de la Recherche Scientifique (CNRS) 5558 , Villeurbanne , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tristan","family":"Ferry","sequence":"additional","affiliation":[{"name":"Infectious Diseases Department, Croix-Rousse Hospital , Hospices Civils de Lyon, Lyon , France"},{"name":"French Referral Centre for Complex Bone and Joint Infections , Lyon , France"},{"name":"Centre International de Recherche en Infectiologie, Inserm U1111, Centre National de la Recherche Scientifique (CNRS) Unit\u00e9s mixtes de recherche (UMR) 5308, \u00c9cole Normale Sup\u00e9rieure (ENS) de Lyon, 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