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Enterococcus
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=== Meningitis === {{Main|Meningitis}} Enterococcal meningitis is a rare complication of neurosurgery. It often requires treatment with intravenous or [[intrathecal]] vancomycin, yet it is debatable as to whether its use has any impact on outcome: the removal of any neurological devices is a crucial part of the management of these infections.<ref name="Guardado_2006">{{cite journal | vauthors = Guardado R, Asensi V, Torres JM, Pérez F, Blanco A, Maradona JA, Cartón JA | title = Post-surgical enterococcal meningitis: clinical and epidemiological study of 20 cases | journal = Scandinavian Journal of Infectious Diseases | volume = 38 | issue = 8 | pages = 584–588 | year = 2006 | pmid = 16857599 | doi = 10.1080/00365540600606416 | s2cid = 24189202 }}</ref> New epidemiological evidence has shown that enterococci are major infectious agent in chronic bacterial [[prostatitis]].<ref>{{cite web | title = Enterococcus sp rRNA [Presence] in Specimen by Probe | url = https://loinc.org/5001-3 | id = 5001-3 | work = Logical Observation Identifiers Names and Codes (LOINC) | publisher = Regenstrief Institute, Inc. }}</ref> Enterococci are able to form [[biofilm]] in the prostate gland, making their eradication difficult.{{citation needed|date=February 2023}} Cases of enterococcal meningitis, in the absence of trauma or surgery, should raise suspicion of an underlying intestinal pathology (e.g., strongyloidiasis).<ref>{{cite journal | vauthors = Cosimi L, Di Bella S, Luzzati R, Simeth CT, Pinamonti M, Cominotto F, Sisto UG | title = Enterococcal meningitis associated with ''Strongyloides'' infection: a case report and literature review | journal = Le Infezioni in Medicina | volume = 31 | issue = 4 | pages = 583–590 | date = 2023-12-01 | pmid = 38075422 | pmc = 10705849 | doi = 10.53854/liim-3104-18 }}</ref>
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