Empyema and splenic abscess in infective endocarditis

A rare case of pleuropulmonary infection and septic shock associated with Enterococcus faecium endocarditis

“…To our knowledge only one other published case of empyema has been associated with enterococcal endocarditis. 2 In this case reported by Tornos et al, a 52 year-old male developed a splenic abscess in association with Enterococcus faecalis endocarditis and had this organism isolated from an associated pleural effusion. 2 Pneumonia was not present.…”

“…2 In this case reported by Tornos et al, a 52 year-old male developed a splenic abscess in association with Enterococcus faecalis endocarditis and had this organism isolated from an associated pleural effusion. 2 Pneumonia was not present. We believe that ours is the first reported case of combined enterococcal pneumonia and empyema.…”

Pleural Enterococcus faecalis Empyema: An Unusual Case

“…In three separate retrospective reviews of empyema and one prospective study of empyema in liver cirrhosis, 30 cases of enterococcal empyema were reported [6][7][8][9]. The source of infection was an endocarditis with a splenic abscess in one case and an esophago-pleural fistula after pneumonectomy in another case [10,11] In the other 28 reported cases, the origin of enterococci was never identified [6].…”

Vancomycin-resistant Enterococcus faecium pneumonia in a uremic patient on hemodialysis: a case report and review of the literature

“…However, imaging of vessels at the catheter and an echocardiography showed no embolism and the catheter culture was negative in the current case. From the cases summarized in Table 1, it is notable that only 2 cases of Enterococcal pneumonia were associated with endocarditis [11,13]. Furthermore, previous literature data reported 3 cases of VRE-fm pneumonia were treated with linezolid, of which 2 survived and 1 died.…”

“…We conducted a literature search based on PubMed in an attempt to identify all published cases of pleuropulmonary infection due to enterococcus, without time limits. Twenty-four cases of Enterococcus-associated pleuropulmonary infection previously published in the literature were eventually summarized in Table 1 [6,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]. The enterococcal pneumonia cases previously described in the literature mainly occurred in elderly patients with immunosuppression, organ transplantation, hematological malignancies, solid cancer, renal failure, cardiocerebrovascular disease and chronic obstructive pulmonary disease.…”