[A critical pneumonia by multidrug-resistant Enterococcus faecium in a chronic hemodialysis patient. A case report]

Enterococcus faecium is usually known as a pathogen of nosocomial infections in compromised patients. Recently it is a problem that some of the E. faecium become resistant to many antibiotics. It is not usual that this pathogen causes pneumonia. We report a community-acquired pneumonia by multidrug-resistant E. faecium in an outpatient who had been receiving hemodialysis for the past year. The patient recovered from pneumonia with vancomycin, but had nosocomial pneumonia caused by MRSA later but recovered.