title: A case of subacute infective endocarditis and blood access infection caused by Enterococcus durans.
abstract: BACKGROUND
  Infection by Enterococcus durans (E. durans) is very rare; reported cases are often preceded by therapy or an immunosuppressed state, including infective endocarditis, urinary tract infection, or wound infection. A few reported cases of infective endocarditis exist, with no reports describing involvement of blood access infection.
  
  
  METHODS
  The patient is an 83-year-old man who had been undergoing hemodialysis for 8 years due to renal failure caused by diabetic nephropathy. He developed infective endocarditis and blood access infection/infective aneurysm due to Enterococcus durans; these conditions were treated with the antibiotic regimen of ampicillin + gentamicin. There have been only a few reported cases of infective endocarditis caused by E. durans, and to our knowledge, this is the first report of blood access infection.
  
  
  CONCLUSIONS
  We have experienced a case of concurrent infective endocarditis and blood access infection/infective aneurysm caused by E. durans. This is the world's first reported case of blood access infection/infective aneurysm by E. durans.
authors.affiliation: Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Japan. smile.kenzaka@jichi.ac.jp.
authors.forename: Tsuneaki
authors.initials: T
authors.lastname: Kenzaka
authors.forename: Noriko
authors.initials: N
authors.lastname: Takamura
authors.forename: Ayako
authors.initials: A
authors.lastname: Kumabe
authors.forename: Koichi
authors.initials: K
authors.lastname: Takeda
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D016983:Enterococcus / Q000235:genetics / Q000302:isolation & purification* / Q000502:physiology; D006801:Humans; D008297:Male; D006435:Renal Dialysis / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents