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Microbiology General 4676b301

A patient admitted to an ICUs is on central venous line for the last one week; he is on ceftazidine and amikacin. After 7 days of antibiotics he develops a spike of fever and his blood culture is positive for gram positive cocci in chains, which are catalase negative. Following this, vancomycin was restarted but the culture remained positive for same organisms even after 2 weeks of therapy. The most likely organism causing infection is :

A
Staph aureus
B
Viridans streptococci
C
Enterococus fecalis
D
Coagulase positive staphylococcus
High-Yield Explanation
Enterococci are resistant to all cephalosporins, aminoglycosides and resistant to vancomycin is also becoming quite common with it.

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