Multifocal joint infection caused by Enterococcus gallinarum

Abstract

Musculoskeletal infections caused by Enterococcus gallinarum are rare, but due to its multi-drug resistance has gained more and more attention from the scientific community. We report a case of a 81-year-old immunocompetent Caucasian female with a multifocal joint infection caused by this agent. Shoulder arthrocentesis and two different blood cultures were used to identify this vancomycin-resistant agent in a symptomatic patient. After surgical debridement and 8 weeks of antibiotherapy with ampicillin (1000 mg IV every 6 h), the clinical and laboratory findings were all remarkably improved after treatment. After 2 years follow-up, the patient had no recurrence.

Keywords:

• Enteroccocus gallinarum;
• joint infection;
• vancomycin-resistant

Patient consent

The patient provided written informed consent for publication of her data.

Ethical approval

Not applicable.

Conflict of interest

None.

Additional information

Funding

The authors received no financial support for the research, authorship, and/or publication of this article.