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The International Journal of Lower Extremity Wounds
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Multidrug-Resistant Enterococcus raffinosus From A Decubitus Ulcer: A Case Report

Vincenzo Savini, MD

Unità Operativa Complessa di Microbiologia e Virologia Clinica, Dipartimento di Medicina Trasfusionale, Ospedale Civile Spirito Santo, Pescara, vincsavi{at}yahoo.it

Assunta Manna, BSc

Unità Operativa Complessa di Microbiologia e Virologia Clinica, Dipartimento di Medicina Trasfusionale, Ospedale Civile Spirito Santo, Pescara

Giovanni Di Bonaventura, PhD

Laboratorio di Microbiologia Clinica, Centro Studi Invecchiamento (Ce.S.I.), Università degli Studi Gabriele D'Annunzio, Chieti (GDB), Italy

Chiara Catavitello

Unità Operativa Complessa di Microbiologia e Virologia Clinica, Dipartimento di Medicina Trasfusionale, Ospedale Civile Spirito Santo, Pescara

Marzia Talia

Unità Operativa Complessa di Microbiologia e Virologia Clinica, Dipartimento di Medicina Trasfusionale, Ospedale Civile Spirito Santo, Pescara

Andrea Balbinot

Unità Operativa Complessa di Microbiologia e Virologia Clinica, Dipartimento di Medicina Trasfusionale, Ospedale Civile Spirito Santo, Pescara

Fabio Febbo

Unità Operativa Complessa di Microbiologia e Virologia Clinica, Dipartimento di Medicina Trasfusionale, Ospedale Civile Spirito Santo, Pescara

Domenico D'Antonio, MD

Unità Operativa Complessa di Microbiologia e Virologia Clinica, Dipartimento di Medicina Trasfusionale, Ospedale Civile Spirito Santo, Pescara

A case of decubitus ulcer infected with multidrug-resistant Enterococcus raffinosus is reported in this article. This is the first report of wound infection caused by an Enterococcus raffinosus isolate resistant to antibiotics other than β-lactams, gentamicin, and ciprofloxacin. This case adds to the knowledge base concerning the onset of antibiotic resistance in this uncommon species and confirms the emerging role of daptomycin as a promising alternative in therapy of severe difficult-to-treat enterococcal infections.

Key Words: Enterococcus raffinosus • decubitus ulcer • daptomycin

The International Journal of Lower Extremity Wounds, Vol. 7, No. 1, 36-37 (2008)
DOI: 10.1177/1534734607313757
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