Aortic root replacement in a patient with vancomycin-resistant Enterococcus faecium endocarditis and leukemia.
case_report · Level V
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Abstract
Vancomycin-resistant Enterococcus faecium endocarditis is rare and usually occurs in immunocompromised patients. We describe a patient with hairy-cell leukemia and vancomycin-resistant E faecium endocarditis. The patient presented with severe aortic insufficiency. He underwent aortic root replacement with a cryopreserved aortic homograft and was treated with a combination of quinupristin/dalfopristin, ampicillin, and gentamicin.
Medical subject headings
- Aortic Valve Insufficiency
- Endocarditis, Bacterial
- Enterococcus faecium
- Gram-Positive Bacterial Infections
- Leukemia, Hairy Cell
- Vancomycin Resistance