W. MICHAEL SCHELD, M.D.; GERALD L. MANDELL, M.D.
Enterococci are isolated from 10% to 15% of patients with endocarditis (1-3) and rank as the third commonest cause of endocarditis, behind viridans streptococci and Staphylococcus aureus (3). These group D streptococci (Lancefield classification) differ physiologically from most other streptococci by their ability to grow in media containing 40% bile and to cleave esculin. Enterococci are distinguished from nonenterococcal group D organisms (that is, S. bovis or S. equinus) by their growth in broth containing 6.5% sodium chloride. Enterococcal endocarditis is usually caused by S. faecalis and rarely by S. faecium or S. durans.
Therapy for patients with enterococcal endocarditis
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SCHELD WM, MANDELL GL. Enigmatic Enterococcal Endocarditis. Ann Intern Med. 1984;100:904–905. doi: 10.7326/0003-4819-100-6-904
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Published: Ann Intern Med. 1984;100(6):904-905.
Cardiology, Endocarditis, Infectious Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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