Korean J Nephrol.  2011 Jan;30(1):107-111.

A Case of Vancomycin Resistant Enterococcal Urinary Tract Infection and Pseudomembranous Colitis Co-Infection

• Kim JG
• Kim KH
• Park SH
• Song JE
• Oh WG
• Kim JH
• Lee KY

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.

Keyword

Vancomycin resistance; Enterococcus; Hemodialysis; Pseudomembranous colitis (PMC); Urinary tract infection (UTI)

MeSH Terms

Acetamides
Bacteremia
Coinfection
Colon
Dialysis
Endocarditis
Enterococcus
Enterocolitis, Pseudomembranous
Humans
Kidney Failure, Chronic
Korea
Meningitis
Oxazolidinones
Peritoneal Dialysis, Continuous Ambulatory
Peritonitis
Prevalence
Renal Dialysis
Urinary Tract
Urinary Tract Infections
Vancomycin
Vancomycin Resistance
Linezolid
Acetamides
Oxazolidinones
Vancomycin