Kwentoh Ifeoma, Henry Terrence
Medicine, Columbia University, New York, USA.
Internal Medicine, Harlem Hospital Center, New York, USA.
Cureus. 2023 Jul 24;15(7):e42361. doi: 10.7759/cureus.42361. eCollection 2023 Jul.
Enterococcus faecium is a Gram-positive flora bacterium home to the gastrointestinal tracts of humans. A true ubiquitous pathogen and a member of the intestinal microbiome, formerly known as group D streptococci, this pathogen has been around for over 10 centuries. Enterococcus faecium thrives in the presence of stool and sewage. The ability to cause endocarditis and urinary tract infections (UTIs) has led to morbidity and mortality in the adult population. We report a case of an elderly woman who presented with multiple falls to our trauma bay area. She was initially managed as trauma during multiple visits with superficial scalp lacerations. However, with multiple falls, she was subsequently transferred to medicine to rule out cardiogenic versus neurogenic syncope. She was admitted to the telemetry unit, and a cardiologist was consulted. Orthostatic vitals were negative, and she had no fever or leukocytosis. Abdominal computed tomography (CT) done as part of the standard trauma workup revealed an interesting finding of multiple bladder diverticula.
粪肠球菌是一种革兰氏阳性菌群细菌，存在于人类胃肠道中。作为一种真正无处不在的病原体，也是肠道微生物群的一员，它以前被称为D组链球菌，这种病原体已经存在了10多个世纪。粪肠球菌在粪便和污水环境中能够茁壮生长。它导致心内膜炎和尿路感染（UTI）的能力已在成年人群中引发发病和死亡情况。我们报告了一例老年女性病例，她多次摔倒后被送至我们的创伤区。在多次就诊期间，她最初因头皮浅表裂伤按创伤进行处理。然而，由于多次摔倒，她随后被转至内科，以排除心源性晕厥与神经源性晕厥。她被收治入遥测病房，并咨询了心脏病专家。直立位生命体征检查结果为阴性，且她没有发热或白细胞增多症。作为标准创伤检查的一部分所进行的腹部计算机断层扫描（CT）显示了一个有趣的发现，即存在多个膀胱憩室。
