Korean Journal of Nephrology 2011;30(1):107-111.
A Case of Vancomycin Resistant Enterococcal Urinary Tract Infection and Pseudomembranous Colitis Co-Infection
Jeong Gwan Kim, Ki Hoe Kim, Sung Hyun Park, Ji Eun Song, Wang Guk Oh, Jeong Hwa Kim and Kwang Yeong Lee
Departments of Internal Medicine, Jesus Hospital, Jeonju, Korea
증례 : 막성 장염과 함께 발생한 반코마이신 내성 장구균 요로감염 1예
김정관, 김기회, 박성현, 송지은, 오왕국, 김정화, 이광영
전주예수병원 내과
Abstract
Infections are the second leading cause of mortality among patients with end-stage renal disease (ESRD). Recently, colonization or infection with vancomycin-resistant enterococci (VRE) is increasing in prevalence at many institutions and is often reported in dialysis patients. Enterococci are generally considered to be of low pathogenicity but may cause urinary tract infection, bacteremia, endocarditis or meningitis in debilitated patients. Three cases of VRE peritonitis in patients on CAPD were reported, but there was no report of VRE urinary tract infection (UTI) in hemodialysis patients in Korea. We present a case of VRE UTI with pseudomembranous colitis (PMC) in an ESRD patient with anal VRE colonization. The VRE UTI was treated successfully with linezolid.
Key Words: Vancomycin resistance, Enterococcus, Hemodialysis, Pseudomembranous colitis (PMC), Urinary tract inf
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