Annals for Hospitalists Inpatient Notes - Clinical Pearls—Enterococcal Bacteremia
Authors: Rachael A. Lee
Journal: Annals of Internal Medicine (2020)

Web Exclusives17 November 2020Annals for Hospitalists Inpatient Notes - Clinical Pearls—Enterococcal BacteremiaRachael A. Lee, MD, MSPHRachael A. Lee, MD, MSPHUniversity of Alabama at Birmingham, Birmingham, Alabama (R.A.L.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M20-6863 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail A 67-year-old man presented with fevers, cough, and dyspnea on exertion over a span of 7 days. Ten days before admission, he had endoscopic retrograde cholangiopancreatography. On examination, his temperature was 38.3 °C, heart rate was 111 beats/min, blood pressure was 150/79 mm Hg, respiratory rate was 22 breaths/min, and SpO2 was 88% on room air. A grade 2 systolic murmur at the apex and bilateral inspiratory crackles were noted. Leukocyte count was 13.5 × 109 cells/L (83% neutrophils), and creatinine clearance was 45 mL/min/1.73 m2. Chest radiograph showed bilateral interstitial infiltrates. Three sets of blood cultures were obtained, and ...References1. García-Solache M, Rice LB. The Enterococcus: a model of adaptability to its environment. Clin Microbiol Rev. 2019;32. [PMID: 30700430] doi:10.1128/CMR.00058-18 Google Scholar2. Arias CA, Murray BE. The rise of the Enterococcus: beyond vancomycin resistance. Nat Rev Microbiol. 2012;10:266-78. [PMID: 22421879] doi:10.1038/nrmicro2761 CrossrefMedlineGoogle Scholar3. Lee RA, Vo DT, Zurko JC, et al. Infectious diseases consultation is associated with decreased mortality in enterococcal bloodstream infections. Open Forum Infect Dis. 2020;7:ofaa064. [PMID: 32190711] doi:10.1093/ofid/ofaa064 CrossrefMedlineGoogle Scholar4. Bennett JE, Dolin R, Blaser MJ. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Elsevier; 2020. Google Scholar5. Dahl A, Lauridsen TK, Arpi M, et al. Risk factors of endocarditis in patients with Enterococcus faecalis bacteremia: external validation of the NOVA score. Clin Infect Dis. 2016;63:771-5. [PMID: 27307506] doi:10.1093/cid/ciw383 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Alabama at Birmingham, Birmingham, Alabama (R.A.L.)Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-6863.Corresponding Author: Rachael A. Lee, MD, MSPH, University of Alabama at Birmingham, 1900 University Boulevard, THT229, Birmingham, AL 35294; e-mail, [email protected]edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 17 November 2020 David H. Wesorick and Vineet Chopra Metrics Cited byDaptomycin-Resistant Enterococcus Bacteremia Is Associated With Prior Daptomycin Use and Increased Mortality After Liver Transplantation 17 November 2020Volume 173, Issue 10Page: HO2-HO3 ePublished: 17 November 2020 Issue Published: 17 November 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...