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Journal of Clinical Microbiology, February 2004, p. 919-922, Vol. 42, No. 2
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.2.919-922.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

Enterococcus cecorum Empyema Thoracis Successfully Treated with Cefotaxime

Patrick C. Y. Woo, Dorothy M. W. Tam, Susanna K. P. Lau, Ami M. Y. Fung, and Kwok-Yung Yuen*

Department of Microbiology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital, Hong Kong

Received 15 August 2003/ Returned for modification 10 October 2003/ Accepted 24 October 2003

We report the first case of Enterococcus cecorum empyema thoracis and spontaneous bacterial peritonitis in a 44-year-old man with underlying cirrhosis. The patient responded to cefotaxime (MIC, 0.25 µg/ml) treatment and drainage of the empyema. Susceptibility of E. cecorum to expanded-spectrum cephalosporins could be due to its production of types of penicillin-binding proteins similar to those produced by Streptococcus species rather than to those produced by Enterococcus species (as predicted by phylogenetic analysis of the 16S rRNA gene sequences).


* Corresponding author. Mailing address: Department of Microbiology, The University of Hong Kong, Rm. 423, University Pathology Building, Queen Mary Hospital, Hong Kong. Phone: (852) 2855 4892. Fax: (852) 2855 1241. E-mail: hkumicro{at}hkucc.hku.hk.


Journal of Clinical Microbiology, February 2004, p. 919-922, Vol. 42, No. 2
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.2.919-922.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.




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