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Enigmatic Enterococcal Endocarditis

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University of Virginia School of MedicineCharlottesville, Viriginia

Ann Intern Med. 1984;100(6):904-905. doi:10.7326/0003-4819-100-6-904
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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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