W. MICHAEL SCHELD, M.D.; GERALD L. MANDELL, M.D.
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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
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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