J Med Microbiol
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J Med Microbiol 58 (2009), 1118-1121; DOI: 10.1099/jmm.0.008334-0
© 2009 Society for General Microbiology
ISSN 0022-2615

Colonization of the tip of a thoracic catheter by Enterococcus faecalis resistant to vancomycin and linezolid

Franca Cian1,2, Roberto Luzzati3, Maria Luisa Deiana2, Nicoletta Ferrantelli2, Enrico Tonin1, Cristina Lagatolla1 and Lucilla Dolzani1

1 Dipartimento di Scienze Biomediche, Università di Trieste, Trieste, Italy

2 Dipartimento di Medicina di Laboratorio, Struttura Complessa Microbiologia, Azienda Ospedaliero-Universitaria ‘Ospedali Riuniti’ di Trieste, Trieste, Italy

3 Struttura Complessa Malattie Infettive, Azienda Ospedaliero-Universitaria ‘Ospedali Riuniti’ di Trieste, Trieste, Italy

Correspondence
Franca Cian
franca.cian{at}aots.sanita.fvg.it

Received December 9, 2008
Accepted April 9, 2009

We report the isolation of Enterococcus faecalis resistant to vancomycin and linezolid from the tip of a thoracic drainage catheter in an elderly patient. He was treated with vancomycin for a pleural empyema due to a meticillin-resistant Staphylococcus aureus but never received linezolid. A surveillance rectal swab yielded both linezolid-susceptible and -resistant strains, and the two isolates were not genotypically related. Careful monitoring for linezolid-resistance is critical to avoid potential therapy failure and transmission of resistant E. faecalis.






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