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

Abstract

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.

• Authors: Tsuneaki Kenzaka, Noriko Takamura, Ayako Kumabe, Koichi Takeda
• Journal: BMC infectious diseases (BMC Infect Dis) Vol. 13 Pg. 594 (Dec 17 2013) ISSN: 1471-2334 [Electronic] England
• PMID: 24341733 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Aged, 80 and over
• Anti-Bacterial Agents (therapeutic use)
• Bacteremia (drug therapy, etiology, microbiology)
• Endocarditis, Bacterial (drug therapy, etiology, microbiology)
• Enterococcus (genetics, isolation & purification, physiology)
• Humans
• Male
• Renal Dialysis (adverse effects)