Enterococcus hirae Bacteremia Associated With Traumatic Soft Tissue Infection: A Case Report.

In recent years, reports of infections in humans have increased. Similarly to most known Enterococci, has been identified mostly in bacteremia, urinary tract infections, infective endocarditis, and biliary tract infections. We present a case of bacteriemia associated with traumatic soft tissue infection in a 77-year-old male patient, a polytrauma victim with a tibia-fibula open fracture after a forklift accident. Initially, the patient underwent a left below-the-knee amputation but it evolved poorly, with necrosis of the surgical stump. Debridement and antibiotics were started. Blood and soft tissue cultures identified . An above-the-knee amputation was necessary, and the patient improved satisfactorily. Our case study helps to confirm the unexpected in humans as well as report an unusual source of infection of this pathogen. Further studies and more case reports are needed to elucidate the clinical impact of  on humans.