BACKGROUND: @entity884 due to @entity2176 -resistant enterococci (VRE) is rare, and the literature consists almost exclusively of reports of single cases. METHODS: We report a case of VRE @entity340 and review 18 cases of native and prosthetic valve @entity884 reported in the literature. RESULTS: The majority of cases were due to @entity6375 . Nearly all of these infections were hospital acquired, and the vast majority of @entity1 had significant underlying disease processes, including dialysis and transplantation. More than three-quarters of cases were left-sided, and the aortic valve was most commonly involved. Peripheral stigmata of @entity884 were not reported in any of the cases. Approximately 40% of @entity1 developed @entity299 . Nearly three-quarters of @entity1 survived, despite the difficulties associated with providing bactericidal antimicrobial therapy, and only 4 @entity1 underwent valve replacement. CONCLUSIONS: @entity884 is an uncommon @entity580 that affects @entity1 with significant comorbid conditions. Most cases are due to @entity6375 , and the aortic valve is involved in at least one-half of cases. One-third of @entity1 require surgical treatment. Optimal antimicrobial therapy remains undefined, but an attempt to identify bactericidal combination therapy should be sought.

XXXX due to @entity2176 -resistant enterococci: case report and review of the literature.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity2176 :: ('MESH:D014640', 'Chemical') :: ['vancomycin'] @entity6375 :: ('1352', 'Species') :: ['E. faecium', 'Enterococcus faecium'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac complications'] @entity340 :: ('MESH:D006349', 'Disease') :: ['prosthetic valve endocarditis'] @entity580 :: ('MESH:D003428', 'Disease') :: ['nosocomial infection'] @entity884 :: ('MESH:D004696', 'Disease') :: ['VRE endocarditis', 'endocarditis', 'Endocarditis']
@entity884 :: (MESH:D004696,Disease) :: ['Endocarditis']
