Enterococcus Faecalis Endocarditis Following Percutaneous Manipulation of a Biliary Tract Calculus and ERCP

A case of Enterococcus faecalis endocarditis followed endoscopic retrograde cholangiopancreatography and percutaneous extraction of a biliary calculus is reported. The most likely cause of endocarditis, though unproven, is the latter procedure, as the bile is often infected during biliary tract obst...

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Main Authors: Allan R Ronald, Andrew LS Pattullo
Format: Article
Language:English
Published: Wiley 1990-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1990/698410
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author Allan R Ronald
Andrew LS Pattullo
author_facet Allan R Ronald
Andrew LS Pattullo
author_sort Allan R Ronald
collection DOAJ
description A case of Enterococcus faecalis endocarditis followed endoscopic retrograde cholangiopancreatography and percutaneous extraction of a biliary calculus is reported. The most likely cause of endocarditis, though unproven, is the latter procedure, as the bile is often infected during biliary tract obstruction, and bacteremia is frequent during percutaneous manipulations. Initial therapy with vancomycin was unsuccessful in clearing the bacteremia, possibly due to vancomycin tolerance of the isolate and lack of an aminoglycoside in the initial regimen. Cure was obtained when therapy with ampicillin and gentamicin was undertaken.
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spelling doaj-art-dbac84022a7b4fcf950b1b511b2247492025-02-03T01:02:39ZengWileyCanadian Journal of Infectious Diseases1180-23321990-01-011414314510.1155/1990/698410Enterococcus Faecalis Endocarditis Following Percutaneous Manipulation of a Biliary Tract Calculus and ERCPAllan R Ronald0Andrew LS Pattullo1Department of Infectious Diseases and Medical Microbiology, Health Sciences Center Hospital, Winnipeg, Manitoba, CanadaDepartment of Infectious Diseases and Medical Microbiology, Health Sciences Center Hospital, Winnipeg, Manitoba, CanadaA case of Enterococcus faecalis endocarditis followed endoscopic retrograde cholangiopancreatography and percutaneous extraction of a biliary calculus is reported. The most likely cause of endocarditis, though unproven, is the latter procedure, as the bile is often infected during biliary tract obstruction, and bacteremia is frequent during percutaneous manipulations. Initial therapy with vancomycin was unsuccessful in clearing the bacteremia, possibly due to vancomycin tolerance of the isolate and lack of an aminoglycoside in the initial regimen. Cure was obtained when therapy with ampicillin and gentamicin was undertaken.http://dx.doi.org/10.1155/1990/698410
spellingShingle Allan R Ronald
Andrew LS Pattullo
Enterococcus Faecalis Endocarditis Following Percutaneous Manipulation of a Biliary Tract Calculus and ERCP
Canadian Journal of Infectious Diseases
title Enterococcus Faecalis Endocarditis Following Percutaneous Manipulation of a Biliary Tract Calculus and ERCP
title_full Enterococcus Faecalis Endocarditis Following Percutaneous Manipulation of a Biliary Tract Calculus and ERCP
title_fullStr Enterococcus Faecalis Endocarditis Following Percutaneous Manipulation of a Biliary Tract Calculus and ERCP
title_full_unstemmed Enterococcus Faecalis Endocarditis Following Percutaneous Manipulation of a Biliary Tract Calculus and ERCP
title_short Enterococcus Faecalis Endocarditis Following Percutaneous Manipulation of a Biliary Tract Calculus and ERCP
title_sort enterococcus faecalis endocarditis following percutaneous manipulation of a biliary tract calculus and ercp
url http://dx.doi.org/10.1155/1990/698410
work_keys_str_mv AT allanrronald enterococcusfaecalisendocarditisfollowingpercutaneousmanipulationofabiliarytractcalculusandercp
AT andrewlspattullo enterococcusfaecalisendocarditisfollowingpercutaneousmanipulationofabiliarytractcalculusandercp