Successful treatment of vancomycin resistant Enterococcus faecium mediastinitis associated with left ventricular assist devices.
We present 2 cases of vancomycin-resistant Enterococcus faecium mediastinitis associated with left ventricular assist devices in the setting of heart transplantation. Despite complicated operative courses and deep infection secondary to antimicrobial resistant organisms, both patients were successfully treated and have remained infection free in the long term.
Malani
Preeti N
PN
Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan, USA.
Dyke
David B S
DB
Pagani
Francis D
FD
Armstrong
Wendy S
WS
Chenoweth
Carol E
CE
D000328:Adult; D000900:Anti-Bacterial Agents; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000601:surgery; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D016984:Enterococcus faecium / Q000187:drug effects* / Q000302:isolation & purification; D005260:Female; D005500:Follow-Up Studies; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy* / Q000382:microbiology; D016027:Heart Transplantation; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000188:drug therapy* / Q000382:microbiology; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome; D020713:Vancomycin Resistance
D000900:Anti-Bacterial Agents