This study presents the first report of vancomycin heteroresistance in an E
nterococcus faecium isolate from a patient. The original isolate was suscep
tible in vitro to vancomycin. E-tests showed growth of subcolonies in a zon
e of inhibition with a vancomycin MIC of >256 mug/ml. Both the susceptible
and resistant colonies were from the same strain as determined by PFGE, and
both contained the vanA gene as determined by PCR.