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Korean J Clin Pathol. 2002 Feb;22(1):31-33. Korean. Case Report.
Sung HS , Yun KA , Kim MN , Pai CH .
Department of Clinical Pathology, University of Ulsan, College of Medicine and Asan Medical Center, Seoul, Korea.

Enterococcus gallinarum carrying both vanA and vanC1 genes were detected from a surveillance culture from a patient staying at the surgical intensive care unit for a few years. E. gallinarum, SI04, was highly resistant to vancomycin (MIC of >or=256ng/mL) and teicoplanin (MIC of >or=256ng/mL). Multiplex PCR for vanA, vanB, vanC1 and vanC2/3 genes revealed SI04 to be positive for both vanA and vanC1 genes. This finding supports the fact that genotyping is needed to classify vancomycin-resistant enterococci (VRE). This is the first report on VanC VRE accompanying vanA gene in Korea.

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