What are less-common manifestations of enterococcal infections?

Updated: Jun 10, 2021
  • Author: Susan L Fraser, MD; Chief Editor: John L Brusch, MD, FACP  more...
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Enterococcal wound infections often manifest as part of a mixed infection.

Enterococcal meningitis is uncommon and is usually associated with neurosurgical procedures or anatomic defects, accounting for only 0.3-6% of cases. A cell wall agent plus synergistic aminoglycoside therapy is the treatment of choice in these rare cases.

Neonatal sepsis may occur.

Respiratory tract infections can develop, especially in older debilitated patients who are receiving tube feedings. [29]  However, isolation of enterococci from respiratory secretions usually represents colonization rather than infection.

Other uncommon infections caused by enterococci include osteomyelitis and septic joint infections.

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