title: Community-acquired urinary tract infection caused by vancomycin-resistant Enterococcus faecalis clinical isolate.
abstract: We present a case of urinary tract infection caused by vancomycin-resistant Enterococcus faecalis. The patient is a 62-year-old woman showing no recent admittances. The isolated microorganism was identified by MicroScan (DADE) and API (BioMerieux) and susceptibility was assessed by disk diffusion, E-test and broth microdilution. The isolate was identified as Enterococcus faecalis and showed high MIC for vancomycin (>128 mg/l) and teicoplanin (8 mg/l) but was susceptible to ampicillin. The transmission routes of vancomycin-resistant enterococci in the community and their clinical implications remain uncertain. Healthy carriers have already been described in several countries but this case report represents an unusual finding.
authors.affiliation: Microbiology Department, La Princesa University Hospital, Madrid, Spain. micro@helico bacterspain.com
authors.forename: E
authors.initials: E
authors.lastname: Aznar
authors.forename: B
authors.initials: B
authors.lastname: Buendía
authors.forename: E
authors.initials: E
authors.lastname: García-Peñuela
authors.forename: E
authors.initials: E
authors.lastname: Escudero
authors.forename: T
authors.initials: T
authors.lastname: Alarcón
authors.forename: M
authors.initials: M
authors.lastname: López-Brea
mesh_terms: D017714:Community-Acquired Infections / Q000188:drug therapy / Q000382:microbiology; D013293:Enterococcus faecalis / Q000187:drug effects* / Q000302:isolation & purification; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008875:Middle Aged; D014552:Urinary Tract Infections / Q000188:drug therapy* / Q000382:microbiology; D020713:Vancomycin Resistance