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2009 | 4 | 2 | 259-261

Article title

A case report of vancomycin-resistant Enterococcus faecalis colonization of a femoral wound in central europe


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Wound infection and colonization following cardiac surgery is well known but rarely caused by vancomycin-resistant enterococci (VRE). A case of femoral wound colonization by vanA carrying Enterococcus faecalis in a patient following mitral prolapse surgery is described in this report.











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1 - 6 - 2009
27 - 3 - 2009


  • Department of Medical Microbiology, Medical and Health Centre, University of Debrecen, 4032, Debrecen, Hungary
  • Department of Cardiac Surgery, Medical and Health Centre, University of Debrecen, 4032, Debrecen, Hungary
  • Clinical Hygiene Ward, Medical and Health Centre, University of Debrecen, 4032, Debrecen, Hungary
  • Cell Biology and Signaling Group of the Hungarian Academy of Sciences, Department of Medical Chemistry, Research Centre for Molecular Medicine, University of Debrecen, 4032, Debrecen, Hungary
  • Department of Medical Microbiology, Medical and Health Centre, University of Debrecen, 4032, Debrecen, Hungary


  • [1] Murray P.R., Baron E.J., Pfaller M.A., Tenover F.C., Yolken R.H. (ed.), Manual of clinical microbiology, 7th ed. American Society for Microbiology, Washington, D.C., 1999
  • [2] Clinical Laboratory Standards Institute (CLSI). Performance standards for antimicrobial susceptibility testing. 15th informational supplement, 25: M100–S12. CLSI, Wayne, Pa., 2005
  • [3] Depardieu F., Perichon B., Courvalin P., Detection of the van alphabet and identification of Enterococci and Staphylococci at the species level by multiplex PCR, J. Clin. Microbiol., 2004, 42, 5857–60 http://dx.doi.org/10.1128/JCM.42.12.5857-5860.2004[Crossref]
  • [4] Jackson C.R., Fedorka-Cray P.J., Barrett J.B., Use of a genus and species specific multiplex PCR for identification of enterococci, J. Clin. Microbol., 2004, 42, 3558–65 http://dx.doi.org/10.1128/JCM.42.8.3558-3565.2004[Crossref]
  • [5] Cetinkaya Y., Falk P., Mayhall C.G., Vancomycinresistant enterococci, Clin. Microbiol. Rev., 2000, 13, 686–707 http://dx.doi.org/10.1128/CMR.13.4.686-707.2000[Crossref]
  • [6] Edmond M.B., Enterococcal species, In: Wenzel R., Edmond M.B., Pittet D., Devaster J.M., Brewer T., Geddes A., et al, editors. A guide to infection control in the hospital. B. C. Decker inc. Hamilton, London, 1998, pp.132–5
  • [7] Uttley A.H., Collins C.H., Naidoo J., George R.C., Vancomycin-resistant enterococci, Lancet, 1988, 1, 57–8. http://dx.doi.org/10.1016/S0140-6736(88)91037-9[Crossref]
  • [8] Sahm D.F., Kissinger J., Gilmore M.S., Murray P.R., Mulder R., Solliday J., et al., In vitro susceptibility studies of vancomycin-resistant Enterococcus faecalis, Antimicrob. Agents Chemother., 1999, 33, 1588–91
  • [9] Ghidán Á., Csiszár K., Jemei Cs., Maródi C.L., Rozgonyi F., PCR detection of the vanA gene in a vancomycin-resistant Enterococcus faecalis, J. Antimicrob. Chemother., 2000, 46, 325–6 http://dx.doi.org/10.1093/jac/46.2.325[Crossref]
  • [10] Knausz M., Gartner B., Fömötör I., Ghidán Á., Kamotsay K., Rozgonyi F., Vancomycin-resistant Enterococcus faecalis colonization during recovery from Neisseria meningitidis cerebrospinal meningitis, Acta Microbiol. Immunol. Hung., 2003, 50, 453–7 http://dx.doi.org/10.1556/AMicr.50.2003.4.11[Crossref]
  • [11] Böröcz K., Szilágyi E., Kurcz A., Libbisch B., Glatz K., Gacs M., First vancomycin-resistant Enterococcus faecium outbreak reported in Hungary, Eur. Surveill., 2005, 10, E010527.1
  • [12] Surucuoglu S., Gazi H., Kurutepe S., Ozkutuk N., Ozbakkaloglu B., Bacteriology of surgical wound infections in a tertiary care hospital in Turkey, East Afr. Med. J., 2005, 82, 331–6
  • [13] Zmudzinska M., Czarnecka-Operacz M., Silny W., Bacterial flora of leg ulcers in patients admitted to Department of Dermatology, Poznan University of Medical Sciences, during the 1998–2002 period, Acta Dermatovenerol. Croat., 2005, 13, 168–72

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