A Case of Vancomycin Resistant Enterococcal Urinary Tract Infection and Pseudomembranous Colitis Co-Infection.
- Author:
Jeong Gwan KIM
1
;
Ki Hoe KIM
;
Sung Hyun PARK
;
Ji Eun SONG
;
Wang Guk OH
;
Jeong Hwa KIM
;
Kwang Yeong LEE
Author Information
1. Department of Internal Medicine, Jesus Hospital, Jeonju, Korea. josephep@paran.com
- Publication Type:Case Report
- Keywords:
Vancomycin resistance;
Enterococcus;
Hemodialysis;
Pseudomembranous colitis (PMC);
Urinary tract infection (UTI)
- MeSH:
Acetamides;
Bacteremia;
Coinfection;
Colon;
Dialysis;
Endocarditis;
Enterococcus;
Enterocolitis, Pseudomembranous;
Humans;
Kidney Failure, Chronic;
Korea;
Meningitis;
Oxazolidinones;
Peritoneal Dialysis, Continuous Ambulatory;
Peritonitis;
Prevalence;
Renal Dialysis;
Urinary Tract;
Urinary Tract Infections;
Vancomycin;
Vancomycin Resistance;
Linezolid
- From:Korean Journal of Nephrology
2011;30(1):107-111
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Infections are the second leading cause of mortality among patients with end-stage renal disease (ESRD). Recently, colonization or infection with vancomycin-resistant enterococci (VRE) is increasing in prevalence at many institutions and is often reported in dialysis patients. Enterococci are generally considered to be of low pathogenicity but may cause urinary tract infection, bacteremia, endocarditis or meningitis in debilitated patients. Three cases of VRE peritonitis in patients on CAPD were reported, but there was no report of VRE urinary tract infection (UTI) in hemodialysis patients in Korea. We present a case of VRE UTI with pseudomembranous colitis (PMC) in an ESRD patient with anal VRE colonization. The VRE UTI was treated successfully with linezolid.
