1. First Confirmed Case of a Vancomycin-ResistantEnterococcus faeciumwithvanAPhenotype from Brazil: Isolation from a Meningitis Case in São Paulo
- Author
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Fábio Valdetaro, V. S. D. Vieira, Samanta Cristine Grassi Almeida, Maria Cristina de Cunto Brandileone, Marguerite Lovgren, Gregory J. Tyrrel, Rosemeire Cobo Zanella, and Sérgio Bokermann
- Subjects
Microbiology (medical) ,Enterococcus faecium ,Immunology ,Microbial Sensitivity Tests ,Polymerase Chain Reaction ,Microbiology ,Meningitis, Bacterial ,law.invention ,Bacterial Proteins ,Vancomycin ,law ,parasitic diseases ,medicine ,Humans ,Carbon-Oxygen Ligases ,Polymerase chain reaction ,Pharmacology ,biology ,Teicoplanin ,Drug Resistance, Microbial ,Middle Aged ,biochemical phenomena, metabolism, and nutrition ,bacterial infections and mycoses ,Isolation (microbiology) ,medicine.disease ,biology.organism_classification ,Phenotype ,Anti-Bacterial Agents ,Enterococcus ,bacteria ,Female ,Meningitis ,medicine.drug - Abstract
The importance of enterococci as a nosocomial etiologic agent is well documented; however, enterococci are also capable of causing a variety of community-acquired infections. Vancomycin resistance in a clinical Enterococcus isolate was first reported in 1986, and since then vancomycin-resistant enterococci (VRE) have been reported world-wide. This report describes a case of E. faecium with the VanA phenotype, isolated from meningitis in Sao Paulo, Brazil. Two E. faecium strains were isolated. One strain showed VanA phenotype, and the molecular characterization of the VanA gene was confirmed by polymerase chain reaction. The other strain was susceptible to vancomycin and teicoplanin. The authors would like to call the attention of the scientific community to this first identification of a VRE case in Sao Paulo, Brazil.
- Published
- 1999
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