Vancomycin-resistant Enterococcus faecalis endocarditis: linezolid failure and strain characterization of virulence factors

J Clin Microbiol. 2007 Feb;45(2):631-5. doi: 10.1128/JCM.02188-06. Epub 2006 Dec 20.

Abstract

Infective endocarditis due to vancomycin-resistant (VR) Enterococcus faecalis has only rarely been reported. We report a case of VR E. faecalis endocarditis that failed to respond to linezolid therapy, outline the virulence traits of the isolate, and review previously published cases of VR E. faecalis endocarditis.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Acetamides / therapeutic use*
  • Adult
  • Anti-Infective Agents / therapeutic use*
  • Bacterial Proteins / genetics
  • Bacterial Proteins / metabolism
  • Endocarditis, Bacterial / drug therapy*
  • Endocarditis, Bacterial / microbiology
  • Enterococcus faecalis / classification
  • Enterococcus faecalis / drug effects*
  • Enterococcus faecalis / pathogenicity*
  • Female
  • Gram-Positive Bacterial Infections / drug therapy
  • Gram-Positive Bacterial Infections / microbiology
  • Humans
  • Linezolid
  • Oxazolidinones / therapeutic use*
  • Treatment Failure
  • Vancomycin Resistance*
  • Virulence
  • Virulence Factors / genetics
  • Virulence Factors / metabolism

Substances

  • Acetamides
  • Anti-Infective Agents
  • Bacterial Proteins
  • Oxazolidinones
  • Virulence Factors
  • Linezolid