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April 1981

Enterococcal Bacteremia Without Endocarditis

Author Affiliations

From the Departments of Medicine (Drs Shlaes and Wolinsky) and Pathology (Drs Levy and Wolinsky), Cleveland Metropolitan General Hospital.

Arch Intern Med. 1981;141(5):578-581. doi:10.1001/archinte.1981.00340050030010

• Seventy-four cases of enterococcal bacteremia without endocarditis were reviewed retrospectively for the years 1963 through 1977. Thirty-nine patients had hospital-acquired infection, 27 had serious underlying disease, and 18 had polymicrobial bacteremia. The organisms isolated from the primary source of infection were similar in patients with pure enterococcal or polymicrobial bacteremia. The most common source was the urinary tract, followed by the abdomen, infected burns, and soft-tissue infections other than burns. The overall mortality was 34%, with significantly higher mortality in immunocompromised patients, including those with infected burn wounds. Mortality also was higher in patients with hospital-acquired infection. Eleven of the 25 deaths were considered directly related to enterococcal septicemia.

(Arch Intern Med 1981;141:578-581)