<i>Enterococcus casseliflavus</i> Bacteraemia in a Patient with Chronic Renal Disease

• Main Authors: Alexandra Vasilakopoulou, Sophia Vourli, Nikolaos Siafakas, Dimitra Kavatha, Nikolaos Tziolos, Spyros Pournaras
• Format: Article
• Language: English
• Published: MDPI AG 2020-11-01
• Series: Infectious Disease Reports
• Subjects: <i>Enterococcus casseliflavus</i>; bacteraemia; thrombophlebitis
• Online Access: https://www.mdpi.com/2036-7449/12/3/15

<i>Enterococcus casseliflavus</i> is a rare pathogen that usually causes urinary tract and abdominal infections. Its main characteristics are positive motility, yellow colonies and constitutive low-level resistance to vancomycin. We present a case of <i>E. casseliflavus</i> bacteraemia due to thrombophlebitis at the site of the central venous catheter used for hemodialysis in a renal patient. The biochemical identification of the microorganism was further corroborated by molecular detection of the <i>vanC</i> gene. The patient received antibiotic therapy initially with daptomycin and gentamicin, and then with ampicillin and ceftriaxone. The outcome was cure, and he was released from the hospital after seven weeks afebrile with negative blood cultures.