A case of subacute infective endocarditis and blood access infection caused by Enterococcus durans

BMC Infectious Diseases

Koichi Takeda¹  Ayako Kumabe¹  Noriko Takamura¹  Tsuneaki Kenzaka¹ 

[1] Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Japan

关键词: Infective aneurysm;    Blood access infection;    Infective endocarditis;    Enterococcus durans;   

Others  :  1135779
DOI  :  10.1186/1471-2334-13-594

 received in 2013-04-01, accepted in 2013-12-10,  发布年份 2013

【 摘 要 】

Background

Infection by Enterococcus durans (E. durans) is very rare; reported cases are often preceded by therapy or an immunosuppressed state, including infective endocarditis, urinary tract infection, or wound infection. A few reported cases of infective endocarditis exist, with no reports describing involvement of blood access infection.

Case presentation

The patient is an 83-year-old man who had been undergoing hemodialysis for 8 years due to renal failure caused by diabetic nephropathy. He developed infective endocarditis and blood access infection/infective aneurysm due to Enterococcus durans; these conditions were treated with the antibiotic regimen of ampicillin + gentamicin. There have been only a few reported cases of infective endocarditis caused by E. durans, and to our knowledge, this is the first report of blood access infection.

Conclusions

We have experienced a case of concurrent infective endocarditis and blood access infection/infective aneurysm caused by E. durans. This is the world’s first reported case of blood access infection/infective aneurysm by E. durans.

【 授权许可】

   
2013 Kenzaka et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】

• [1]Facklam RR, Collins MD: Identification of Enterococcus species isolated from human infections by a conventional test scheme. J Clin Microbiol 1989, 27:731-734.
• [2]Knudtson LM, Hartman PA: Routine procedures for isolation and identification of enterococci and fecal streptococci. Appl Environ Microbiol 1992, 58:3027-3031.
• [3]Ruoff KL, de la Maza L, Murtagh MJ, Spargo JD, Ferraro MJ: Species identities of enterococci isolated from clinical specimens. J Clin Microbiol 1990, 28:435-437.
• [4]McDonald JR, Olaison L, Anderson DJ, Hoen B, Miro JM, Eykyn S, et al.: Enterococcal endocarditis: 107 cases from the international collaboration on endocarditis merged database. Am J Med 2005, 118:759-766.
• [5]Tan CK, Lai CC, Wang JY, Lin SH, Liao CH, Huang YT, et al.: Bacteremia caused by non-faecalis and non-faecium Enterococcus species at a medical center in Taiwan, 2000 to 2008. J Infect 2010, 61:34-43.
• [6]Vijayakrishnan R, Rapose A: Fatal Enterococcus durans aortic valve endocarditis: a case report and review of the literature. BMJ Case Rep 2012. doi:10.1136/bcr-02-2012-5855
• [7]Stepanović S, Jovanović M, Lavadinović L, Stosović B, Pelemis M: Enterococcus durans endocarditis in a patient with transposition of the great vessels. J Med Microbiol 2004, 53:259-261.
• [8]Tripodi MF, Locatelli A, Adinolfi LE, Andreana A, Utili R: Successful treatment with ampicillin and fluoroquinolones of human endocarditis due to high-level gentamicin-resistant enterococci. Eur J Clin Microbiol Infect Dis 1998, 17:734-736.
• [9]Miskeen PA, Deodhar L: Antimicrobial susceptibility pattern of Enterococcus species from urinary tract infections. J Assoc Physicians India 2002, 50:378-381.
• [10]Hall LM, Chen HY, Williams RJ: Vancomycin-resistant Enterococcus durans. Lancet 1992, 340:1105.
• [11]Evangelista A, Gonzalez-Alujas MT: Echocardiography in infective endocarditis. Heart 2004, 90:614-617.