RT Journal Article SR Electronic T1 Enterococcus faecalis endocarditis JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1120 OP 1123 VO 23 IS 9 A1 Mona A. Kholeif A1 Abdulhalim J. Kinsara A1 Boniface O. George A1 Abdulfattah W. Mowallad A1 Fakri A. Bugis A1 Abimbola O. Osoba YR 2002 UL http://smj.org.sa/content/23/9/1120.abstract AB The increasing usage of cephalosporins, to which the enterococci are resistant, has resulted in the rising number of enterococcal infections worldwide. Enterococci are a normal part of the flora of the human gastrointestinal tract, buccal cavity, perineal skin, vagina, urethra and gallbladder, but may occur as pathogens in a number of sites causing urinary tract infections, intra-abdominal infections, fatal bacteremia, meningitis and endocarditis. A Saudi male who developed enterococcal endocarditis with vegetations on both aortic and mitral valves required mitral and aortic valve replacement. The attention of physicians is drawn to the increasing frequency of enterococcus as a cause of nosocomial infections, the risk factors, and antibiotic resistance pattern including resistance to vancomycin as well as its potential for virulence.