High-level aminoglycoside-resistant enterococcus causing endocarditis successfully treated with a combination of ampicillin, imipenem and vancomycin

Scand J Infect Dis. 1997;29(6):628-30. doi: 10.3109/00365549709035908.

Abstract

We describe a case of bacterial endocarditis caused by Enterococcus faecalis, which was highly resistant to aminoglycosides. The patient was successfully treated with a combination of ampicillin, imipenem and vancomycin. We believe this to be the first case in the literature to be treated successfully with this combination.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aminoglycosides
  • Ampicillin / therapeutic use
  • Anti-Bacterial Agents / pharmacology
  • Drug Resistance, Microbial
  • Drug Therapy, Combination / therapeutic use*
  • Endocarditis, Bacterial / drug therapy*
  • Enterococcus faecalis* / drug effects
  • Enterococcus faecalis* / growth & development
  • Enterococcus faecalis* / isolation & purification
  • Female
  • Gram-Positive Bacterial Infections / drug therapy*
  • Humans
  • Imipenem / therapeutic use
  • Microbial Sensitivity Tests
  • Treatment Outcome
  • Vancomycin / therapeutic use

Substances

  • Aminoglycosides
  • Anti-Bacterial Agents
  • Vancomycin
  • Imipenem
  • Ampicillin