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Enterococcus faecalis endocarditis.

Mona A Kholeif1, Abdulhalim J Kinsara, Boniface O George

  • 1Department of Medicine, King Khalid National Guard Hospital, PO Box 9515, Jeddah 21423, Kingdom of Saudi Arabia.

Saudi Medical Journal
|October 9, 2002
PubMed
Summary
This summary is machine-generated.

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Enterococcal infections are rising globally due to cephalosporin resistance. This case highlights enterococcal endocarditis and emphasizes the need to monitor antibiotic resistance, including vancomycin resistance.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Cardiology

Background:

  • Enterococci are common gut flora but can cause severe infections.
  • Increasing cephalosporin use correlates with rising enterococcal infections.
  • Enterococcal infections manifest in various sites, including endocarditis.

Observation:

  • A Saudi male presented with severe enterococcal endocarditis.
  • Vegetations were present on both the aortic and mitral valves.
  • The patient required replacement of both the aortic and mitral valves.

Findings:

  • Enterococci are increasingly implicated in nosocomial infections.
  • Antibiotic resistance patterns, including vancomycin resistance, are a growing concern.
  • Enterococci possess significant virulence potential.

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Implications:

  • Physicians must be aware of the rising incidence of enterococcal infections.
  • Understanding risk factors and resistance patterns is crucial for effective treatment.
  • Vigilance regarding vancomycin resistance in enterococci is essential.