posted on the first case of VRSA in Europe. Today, a posting on ProMed reports on the first VRSA case in Latin America. This is also the first time VRSA has been isolated from the blood; all previous strains were isolated from wounds. The patient was a 35 year old man from Sao Paulo, Brazil with diabetes and Sezary Syndrome. His bloodstream infection was controlled with daptomycin but he died 3 weeks after VRSA was isolated. The vanA gene was detected in the VRSA strain as well as from an Enterococcus faecalis strain isolated from the same patient.