Korean Journal of Clinical Microbiology  2001;4(2):146-149

A Case of Enterococcus casseliflavus Bacteremia.

Young UH 1 ; Hyeun Gyeo LEE ; Gyu Yel HWANG ; Kap Jun YOON ; Hyo Youl KIM

Affiliations

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Keywords

Enterococcus casseliflavus; Bacteremia; Vancomycin

Country

Republic of Korea

Language

Korean

Abstract

Although Enterococcus casseliflavus with intrinsic low-level vancomycin resistance has rarely been isolated from clinical specimens, this organism may cause serious invasive infections such as endocarditis and bacteremia. This low prevalence may be due, in part, to the inability of automated systems to recognize this organism. Vancomycin may not be effective against E. casseliflavus, despite in vitro results that indicate vancomycin susceptibility. It is important that all E. casseliflavus isolates obtained from clinical specimens that are related to serious infections should be identified to species level for appropriate antibiotic therapy. We report a case of bacteremia caused by E. casseliflavus in a 44-year-old female patient with liver disease.