Abstract
Vancomycin-resistant Enterococcus faecium endocarditis is rare and usually occurs in immunocompromised patients. We describe a patient with hairy-cell leukemia and vancomycin-resistant E faecium endocarditis. The patient presented with severe aortic insufficiency. He underwent aortic root replacement with a cryopreserved aortic homograft and was treated with a combination of quinupristin/dalfopristin, ampicillin, and gentamicin.
MeSH terms
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Acute Disease
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Aged
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Aortic Valve Insufficiency / microbiology
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Aortic Valve Insufficiency / surgery*
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Endocarditis, Bacterial / complications
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Endocarditis, Bacterial / drug therapy*
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Enterococcus faecium* / drug effects
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Gram-Positive Bacterial Infections / complications
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Gram-Positive Bacterial Infections / drug therapy*
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Gram-Positive Bacterial Infections / etiology
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Humans
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Leukemia, Hairy Cell / complications*
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Male
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Vancomycin Resistance*