Clinical Features and Outcomes of Bacteremia Caused by Enterococcus casseliflavus and Enterococcus gallinarum: Analysis of 56 Cases

Sang-Ho Choi, Christine; Sang-Oh Lee, Christine; Tae Hyong Kim, Christine; Jin-Won Chung, Christine; Eun Ju Choo, Christine; Yee Gyung Kwak, Christine; Mi-Na Kim, Christine; Yang Soo Kim; Jun Hee Woo, Christine; Jiso Ryu, Christine; Nam Joong Kim
January 2004
Clinical Infectious Diseases;1/1/2004, Vol. 38 Issue 1, p53
Academic Journal
The clinical significance and virulence potential of Enterococcus casseliflavus/flavescens and Enterococcus gallinarum are still uncertain. We retrospectively analyzed 56 cases of significant bacteremia caused by E. casseliflavus or E. gallinarum. Of these cases, 25 (44.6%) were associated with polymicrobial bacteremia, and 43 (76.8%) were associated with entry via the biliary tract. Resistance to vancomycin was observed in 17 (30.4%) of these 56 patients, and this resistance was significantly associated with E. gallinarum bacteremia (adjusted odds ratio [AOR], 10.56; 95% confidence interval [CI], 2.41-46.27) and bacteremia without biliary tract origin (AOR, 6.74; 95% CI, 1.44-31.67). The crude mortality rate was 13%, and the bacteremia-related mortality rate was 1.9%. In conclusion, bacteremia due to E. casseliflavus and E. gallinarum is commonly associated with biliary tract disease and may be associated with a low risk of mortality.


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