A medical report on former Kaduna State Governor Nasir Ahmad El-Rufai has revealed that a blood culture test detected Enterococcus faecium, a bacterium resistant to the antibiotic vancomycin, while his doctors listed possible sepsis among their clinical concerns.

The findings are contained in two medical documents dated October 22, 2026, concerning the 66-year-old former governor, who is currently being detained by the Independent Corrupt Practices and Other Related Offences Commission (ICPC) amid his prosecution.

A laboratory report issued by Cerba Lancet Nigeria showed that both aerobic and anaerobic blood cultures tested positive for Enterococcus faecium after 24–48 hours of incubation.

The report stated: “Culture positive After 24-48 hours incubation.”

It identified the organism as Enterococcus faecium and explicitly described it as a “Vancomycin Resistant Enterococcus (VRE).”

The laboratory report listed vancomycin as resistant, while several other antibiotics, including ampicillin/amoxicillin, erythromycin, levofloxacin, minocycline and linezolid, were marked as sensitive.

El-rufai

However, the laboratory document was marked “INTERIM REPORT” and stated: “Final Verified Report to Follow.”

This means the final verified laboratory result was still pending in the document provided.

A separate medical report issued by ASK+ Medical & Diagnostics on October 22 also documented the blood culture finding and detailed El-Rufai’s symptoms, clinical assessment and proposed treatment.

Under its clinical history section, the report stated: “The patient is a 66-year-old man with dyslipidemia, persistent headaches and insomnia. He presented with mild generalized headache and dizziness, without aura or photophobia. There is a reported history of hypotension.”

The report also noted that he appeared mildly dehydrated, with the clinical impression including dehydration in a case documented as resistant malaria and possible sepsis.

Under the clinical history section, the document described the assessment as “dehydration with resistant malaria and possible sepsis, with a suspected Para umbilical focus.”

The report recorded El-Rufai’s blood pressure at 93/70 mmHg and his pulse rate at 68 beats per minute.

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His temperature was recorded as 36.2 degrees Celsius, while his oxygen saturation was 98 per cent on room air. The physical examination described him as being in no apparent respiratory or painful distress.

The report also contained an apparent difference in its assessment of his hydration status. While the clinical history described him as mildly dehydrated, the physical examination stated: “No dehydration.”

Under the investigations section, the ASK+ report confirmed the laboratory finding, stating: “Blood Culture: Enterococcus faecium (Gram-positive) isolated.”

It added that the organism was sensitive to several antibiotics, including ampicillin, erythromycin, levofloxacin, minocycline and linezolid, but resistant to vancomycin.

The report also listed gentamicin as sensitive, although the laboratory document presents the gentamicin result differently in its aerobic and anaerobic culture sections. The discrepancy requires clarification from the laboratory.

The ASK+ report stated that results from several other investigations, including a full blood count, malaria test, renal function test, liver function test, fasting lipid profile, random blood glucose, urinalysis and HbA1c, were within normal limits.

Despite those results, the positive blood culture prompted a recommendation for further medical evaluation and treatment guided by the laboratory findings.

Under its treatment plan, the report recommended admission for observation, intravenous fluids and medication for the documented clinical concerns.

It also advised that the blood culture and antibiotic sensitivity results be reviewed in consultation with an infectious disease physician.

The report stated: “Review the blood culture result and sensitivity results and, in consultation with Infectious disease physician, consider appropriate IV antibiotic therapy and admission for at least three days as advised by the clinical pathologist.”

It listed possible intravenous antibiotic options, including Augmentin, Gentalex, L-Flox and linezolid, subject to further clinical assessment and review of the culture results.

The findings come as El-Rufai remains in ICPC custody while facing prosecution. However, the medical documents do not establish any connection between his detention and the bacterial finding.