Microbiology: An Introduction (13th Edition)
Microbiology: An Introduction (13th Edition)
13th Edition
ISBN: 9780134605180
Author: Gerard J. Tortora, Berdell R. Funke, Christine L. Case, Derek Weber, Warner Bair
Publisher: PEARSON
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Chapter 20, Problem 1CAE

Vancomycin-resistant Enterococcus faecalis was isolated from a foot infection of a 40-year-old man. The patient had a chronic diabetes-related foot ulcer and underwent amputation of a gangrenous toe. He subsequently developed methicillin-resistant Staphylococcus aureus bacteremia. The infection was treated with vancomycin. One week later, he developed a vancomycin-resistant S. aureus (VRSA) infection. This is the first case of VRSA in the United States. What is the most likely source of the VRSA?

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