[Bacteremia caused by Enterococcus gallinarum with a high level of glycopeptide resistance: 1st documented cases in Argentina]

Rev Argent Microbiol. 2003 Apr-Jun;35(2):96-9.
[Article in Spanish]

Abstract

A case of bacteremia due to high-level-vancomycin- (MIC = 64 micrograms/ml) and high-level-teicoplanin- (MIC = 32 micrograms/ml) resistant Enterococcus gallinarum is described. Both genes, van C1 and van A, respectively conferring natural low-level resistance and acquired high-level resistance to vancomycin, were found in the enterococcal genoma. The present is the first report of an E. gallinarum isolate showing the van A genotype in Argentina.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Argentina / epidemiology
  • Bacteremia / drug therapy
  • Bacteremia / microbiology*
  • Bacterial Proteins / analysis
  • Bacterial Proteins / genetics
  • Carbon-Oxygen Ligases / analysis
  • Carbon-Oxygen Ligases / genetics
  • Drug Resistance, Multiple, Bacterial* / genetics
  • Enterococcus / classification
  • Enterococcus / drug effects
  • Enterococcus / genetics
  • Enterococcus / isolation & purification*
  • Fatal Outcome
  • Gram-Positive Bacterial Infections / drug therapy
  • Gram-Positive Bacterial Infections / microbiology*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / microbiology
  • Teicoplanin / pharmacology*
  • Vancomycin / pharmacology*
  • Vancomycin Resistance / genetics

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • VanA ligase, Bacteria
  • Teicoplanin
  • Vancomycin
  • Carbon-Oxygen Ligases