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Staphylococcus lugdunensis pacemaker-related infection.

Harald Seifert1, Dirk Oltmanns, Karsten Becker

  • 1Institute for Medical Microbiology, Immunology and Hygiene, University of Cologne, Cologne, Germany. harald.seifert@uni-koeln.de

Emerging Infectious Diseases
|August 17, 2005
PubMed
Summary

This study details a rare device-related bloodstream infection caused by Staphylococcus lugdunensis small-colony variants. The infection showed poor response to prolonged antimicrobial therapy, highlighting treatment challenges.

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Area of Science:

  • Infectious Diseases
  • Medical Microbiology
  • Device-Related Infections

Background:

  • Device-related infections pose significant clinical challenges.
  • Staphylococcus lugdunensis is an emerging pathogen in device infections.
  • Small-colony variants (SCVs) of bacteria can exhibit altered virulence and antimicrobial susceptibility.

Observation:

  • A patient presented with recurrent pacemaker-related bloodstream infections over 10 months.
  • The infections were caused by Staphylococcus lugdunensis small-colony variants.
  • Clinical and microbiological assessments indicated a poor response to extended antimicrobial drug therapy.

Findings:

  • This is the first reported case of a device-related bloodstream infection specifically involving Staphylococcus lugdunensis SCVs.

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  • The recurrent nature of the infection underscores the difficulty in eradicating SCV infections.
  • Prolonged antimicrobial therapy was insufficient to resolve the infection.
  • Implications:

    • This case highlights the need for increased awareness of Staphylococcus lugdunensis SCVs in device-related infections.
    • It suggests that standard antimicrobial regimens may be inadequate for treating such infections.
    • Further research into optimal diagnostic and therapeutic strategies for SCV infections is warranted.