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Case Reports
. 2019 Jun;8(2):100-102.
doi: 10.1055/s-0038-1672194. Epub 2018 Oct 11.

Ventriculoperitoneal Shunt Infection Caused by Enterococcus gallinarum in a Pediatric Patient: A Case Report

Kacie Clark  1 , Deborah Maka  2
Affiliations
Case Reports

Ventriculoperitoneal Shunt Infection Caused by Enterococcus gallinarum in a Pediatric Patient: A Case Report

Kacie Clark et al. J Pediatr Intensive Care. 2019 Jun.

Abstract

Enterococcus gallinarum is a common colonizer of the gastrointestinal tract that expresses intrinsic vancomycin resistance. This case report describes an E. gallinarum ventriculoperitoneal (VP) shunt infection in a pediatric patient. A 4-year-old female patient presented with cerebrospinal fluid (CSF) cultures from a VP shunt significant for E. gallinarum . The patient received ampicillin and synergistic gentamicin. She completed a total of 16 days of therapy following 2 weeks of negative CSF and blood cultures with full clinical cure of infection. The patient was successfully treated following a 2-week course of antibiotics. Awareness of Enterococcus species with intrinsic vancomycin resistance should be increased.

Keywords: Enterococcus; meningitis; ventriculoperitoneal shunt.

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Conflict of interest statement

Conflict of Interest None declared.

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