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KMID : 0359920110300010107
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Korean Journal of Nephrology
2011 Volume.30 No. 1 p.107 ~ p.111
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A Case of Vancomycin Resistant Enterococcal Urinary Tract Infection and Pseudomembranous Colitis Co-Infection
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Kim Jeong-Gwan
Kim Ki-Hoe
Park Sung-Hyun
Song Ji-Eun
Oh Wang-Guk
Kim Jeong-Hwa
Lee Kwang-Yeong
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Abstract
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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.
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KEYWORD
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Vancomycin resistance, Enterococcus, Hemodialysis, Pseudomembranous colitis (PMC), Urinary tract inf
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