Enterococcus avium endocarditis

Mirzoyev, Zaur; Anavekar, Nandan S.; Wilson, Frederick A.; Uslan, Daniel Z.; Baddour, Larry M.; Mookadam, Farouk

doi:10.1080/00365540410024754

Cited by 13 publications

(9 citation statements)

References 6 publications

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“…Based on these data, E. avium was the third most common enterococcal strain at our hospital, which indicates a relatively high prevalence of the pathogen in our area. Infections due to E. avium in other sites have also been reported (15,16,(21)(22)(23)(24)(25); however, there is only one previous case report of osteomyelitis, and that patient did not present with bacteremia (4). The present case is of interest because the patient presented with both bacteremia and an iliopsoas abscess with femoral head osteomyelitis caused by E. avium infection.…”

Section: Discussionmentioning

confidence: 63%

Bacteremia with an Iliopsoas Abscess and Osteomyelitis of the Femoral Head Caused by <i>Enterococcus avium</i> in a Patient with End-stage Kidney Disease

2015

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A 70-year-old man on hemodialysis for end-stage kidney disease due to polycystic kidney disease presented with hip pain on extension and a high C-reactive protein level. Further examinations revealed an iliopsoas abscess and femoral head osteomyelitis caused by Enterococcus avium (E. avium) detected in blood and pus cultures. Complete resolution of the infection with ampicillin-resistant E. avium required six months of vancomycin therapy and two surgical drainage procedures. There have been no previous case reports in which both blood and abscess cultures confirmed E. avium infection. Careful attention should be paid to the detection of non-specific symptoms in patients on hemodialysis, with blood cultures being essential in such cases.

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Section: Discussionmentioning

confidence: 63%

Bacteremia with an Iliopsoas Abscess and Osteomyelitis of the Femoral Head Caused by <i>Enterococcus avium</i> in a Patient with End-stage Kidney Disease

2015

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“…(2015) [192,193] In vitro Sinergy in time-kill curves against VRE and restoration of daptomycin activity in the PK/PD model to gastrointestinal disease, were susceptible to ampicillin and gentamicin [154,155,196]. Finally, we have only found three case reports of E. durans IE [156][157][158].…”

Section: Non-faecalis Non-faecium Enterococcal Endocarditismentioning

confidence: 84%

“…Swaminathan et al [154] Ampicillin plus gentamicin 4 weeks Mirzoyev et al [155] Ampicillin plus gentamicin 4 weeks E. durans…”

Section: E Cecorummentioning

confidence: 98%

Enterococcal Endocarditis Revisited

et al. 2015

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The Enterococcus species is the third main cause of infective endocarditis (IE) worldwide, and it is gaining relevance, especially among healthcare-associated cases. Patients with enterococcal IE are older and have more comorbidities than other types of IE. Classical treatment options are limited due to the emergence of high-level aminoglycosides resistance (HLAR), vancomycin resistance and multidrug resistance in some cases. Besides, few new antimicrobial alternatives have shown real efficacy, despite some of them being recommended by major guidelines (including linezolid and daptomycin). Ampicillin plus ceftriaxone 2 g iv./12 h is a good option for Enterococcus faecalis IE caused by HLAR strains, but randomized clinical trials are essential to demonstrate its efficacy for non-HLAR EFIE and to compare it with ampicillin plus short-course gentamicin. The main mechanisms of resistance and treatment options are also reviewed for other enterococcal species.

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“…Although E. faecalis and E. faecium are the 2 most common species responsible for enterococcal infections, our findings and other reports demonstrate an emerging trend of E. avium infection in humans. Only a few clinical manifestations caused by E. avium have been reported thus far, including bacteremia, endocarditis, osteomyelitis, and splenic abscess [4, 16-18]. Majority of these patients additionally presented with immunocompromising conditions or serious systemic disease.…”

Section: Discussionmentioning

confidence: 99%

Brain Abscess Caused byEnterococcus avium: A Case Report and Review of the Literature

Park

Cho

et al. 2013

Infect Chemother

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Brain abscesses can be highly lethal if appropriate treatment is not administered, and reports of such an abscess caused by Enterococcus avium are very rare. Here,we report a case of a 48-year-old man presenting with chronic otitis media. He initially presented with a headache and right otalgia. An otoscopic evaluation performed on the day of admission showed exudation of fresh pus from the right ear. Brain magnetic resonance imaging demonstrated a hypodense area in the right temporoparietal lobe, suggestive of a brain abscess. A culturing of the ear discharge and brain abscess aspirate proved of E. avium infection. Following stereotactic aspiration of the brain abscess and proper antimicrobial treatment, the patient recovered completely. In this report, we also review and discuss the available medical literature on previous cases of E. avium infection associated with brain abscess.

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Enterococcus avium endocarditis

Abstract: We describe a rare case of Enterococcus avium endocarditis in a patient with an ovarian malignancy, and review 2 previously reported cases. We contend that Enterococcus avium bacteremia and endocarditis may be associated with gastrointestinal pathology.

Cited by 13 publications

References 6 publications

Bacteremia with an Iliopsoas Abscess and Osteomyelitis of the Femoral Head Caused by <i>Enterococcus avium</i> in a Patient with End-stage Kidney Disease

Bacteremia with an Iliopsoas Abscess and Osteomyelitis of the Femoral Head Caused by <i>Enterococcus avium</i> in a Patient with End-stage Kidney Disease

Enterococcal Endocarditis Revisited

Brain Abscess Caused byEnterococcus avium: A Case Report and Review of the Literature

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