PMID- 35693469 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2516-8290 (Electronic) IS - 2516-8290 (Linking) VI - 4 IP - 3 DP - 2022 TI - Successful treatment of vancomycin-resistant enterococcal infection of an external ventricular drain with 2 weeks of intravenous linezolid. PG - 000335 LID - 10.1099/acmi.0.000335 [doi] LID - 000335 AB - Hydrocephalus is a common condition worldwide, and is frequently managed by diversion of cerebrospinal fluid (CSF), either externally with a drain or internally with a shunt. An external ventricular drain (EVD) can be an essential treatment modality, but is associated with a risk of infection, most commonly caused by Staphylococcal species, which can result in meningitis or ventriculitis and a delay in the definitive management of the hydrocephalus. Here, we report the case of a patient who required an EVD to manage post-operative hydrocephalus following a craniotomy and microvascular decompression for trigeminal neuralgia. He subsequently developed EVD-associated infection with a vancomycin-resistant Enterococcus faecium (VRE), which was treated successfully with a 2-week course of intravenous linezolid monotherapy. The authors believe this to be the only described case of successful treatment within this time frame of a CSF VRE infection associated with indwelling foreign material. CI - (c) 2022 The Authors. FAU - Cearns, Michael D AU - Cearns MD AUID- ORCID: 0000-0002-1479-8979 AD - Department of Neurosurgery, Institute of Neurological Sciences, 1345 Govan Road, Glasgow G51 4TF, UK. FAU - McLintock, Bruce T AU - McLintock BT AUID- ORCID: 0000-0002-5381-0176 AD - Department of Medical Microbiology, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow G51 4TF, UK. FAU - Suttner, Nigel AU - Suttner N AUID- ORCID: 0000-0002-4784-7271 AD - Department of Neurosurgery, Institute of Neurological Sciences, 1345 Govan Road, Glasgow G51 4TF, UK. FAU - Khalsa, Kamaljit AU - Khalsa K AUID- ORCID: 0000-0003-3735-8615 AD - Department of Medical Microbiology, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow G51 4TF, UK. LA - eng PT - Case Reports DEP - 20220329 PL - England TA - Access Microbiol JT - Access microbiology JID - 101746927 PMC - PMC9175973 OTO - NOTNLM OT - external ventricular drain OT - hydrocephalus OT - linezolid OT - vancomycin-resistant enterococcus COIS- The authors declare that there are no conflicts of interest. EDAT- 2022/06/14 06:00 MHDA- 2022/06/14 06:01 PMCR- 2022/03/29 CRDT- 2022/06/13 03:16 PHST- 2021/02/16 00:00 [received] PHST- 2022/01/24 00:00 [accepted] PHST- 2022/06/13 03:16 [entrez] PHST- 2022/06/14 06:00 [pubmed] PHST- 2022/06/14 06:01 [medline] PHST- 2022/03/29 00:00 [pmc-release] AID - 000335 [pii] AID - 10.1099/acmi.0.000335 [doi] PST - epublish SO - Access Microbiol. 2022 Mar 29;4(3):000335. doi: 10.1099/acmi.0.000335. eCollection 2022.