Kevin D. Horn, MD
Published on line in October 1995
Disclosure Statement: In accordance with the policies on disclosure of the Accreditation Council for Continuing Medical Education and the Faculty Advisory Committee for Continuing Education in the Health Sciences, University of Pittsburgh, presenters for this program have identified no personal relationships with a health care product company which, in the context of their topics, could be perceived as a real or apparent conflict of interest.
The subject is a 33 year old morbidly obese white male (535 pounds). He presented to the hospital two weeks following a gastric vertical banding procedure for his obesity with fever and diarrhea. His hospital course was complicated by infection of his abdominal incision, followed by reexcision of the tissue around the incision wound. The culture of the incision revealed vancomycin-resistant enterococcus faecium. Respiratory failure and death due to his sepsis followed a month-long hospital stay. A testicular finding unrelated to the cause of death was noted on autopsy.