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Abstract - Meningitis associated with Vancomycin resistant Enterococcus casseliflavus: First report
Fazilet Duygu, Pervin Özlem Balcı, Mehtap Solmaz, Nilay Sefa Uçar

 

Meningitis associated with Vancomycin resistant Enterococcus casseliflavus: First report

Fazilet Duygu¹, Pervin Özlem Balcı2, Mehtap Solmaz², Nilay Sefa Uçar³

1Department of Infectious Disease and Clinic Microbiology, Tokat State Hospital, Tokat, Turkey

2Department of Clinic Microbiology, Tokat State Hospital, Tokat, Turkey

3Department of General Surgery, Tokat State Hospital, Tokat, Turkey

ABSTRACT

Enterococci are present in the gastrointestinal system as normal floral components. In the past two decades members of the genus Enterococcus have emerged as important nosocomial pathogens worldwide. Enterococci may cause a range of different disorders such as urinary tract, intraabdominal, and wound infections, as well as endocarditis, meningitis and bacteraemia. Nosocomial enterococcal meningitis is most commonly observed following ventriculoperitoneal shunt operations. Vancomycin resistant enterococcus (VRE) represents 30% of all enterococci infections.

This report presents a vancomycin-resistant Enterococcus casseliflavus meningitis case in a 66-year-old patient with ventriculoperitoneal shunt, which has not been reported in the literature before. Successful outcomes were obtained with daptomycin plus linezolid combined treatment in VRE meningitis. Treatment recommendations in VRE meningitis are also discussed in this article. J Microbiol Infect Dis 2011;1 (3):138-140

Key words: Vancomycin-resistant enterococcus, Enterococcus casseliflavus, meningitis

Volume 01, Number 03 (2011)