Aortic root replacement in a patient with vancomycin-resistant Enterococcus faecium endocarditis and leukemia

Chest. 2001 Nov;120(5):1744-6. doi: 10.1378/chest.120.5.1744.

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.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Aortic Valve Insufficiency / microbiology
  • Aortic Valve Insufficiency / surgery*
  • Endocarditis, Bacterial / complications
  • Endocarditis, Bacterial / drug therapy*
  • Enterococcus faecium* / drug effects
  • Gram-Positive Bacterial Infections / complications
  • Gram-Positive Bacterial Infections / drug therapy*
  • Gram-Positive Bacterial Infections / etiology
  • Humans
  • Leukemia, Hairy Cell / complications*
  • Male
  • Vancomycin Resistance*