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Intracardiac lead endocarditis due to Staphylococcus lugdunensis
Anish Chopra1, Dhiraj Gulati, Nina Woldenberg
1Department of Internal Medicine, Case Western Reserve University at Metrohealth Medical Center, 2500 Metrohealth Drive, Cleveland, Ohio 44109, USA.
Summary
Staphylococcus Lugdunensis, a coagulase-negative staphylococcus, can cause severe infections. This study details a rare case of endocarditis involving an automatic implantable cardioverter defibrillator lead.
Area of Science:
- Infectious Diseases
- Cardiology
- Medical Microbiology
Background:
- Staphylococcus Lugdunensis is a coagulase-negative staphylococcus (CoNS) known for causing diverse infections, including endocarditis.
- While native and prosthetic valve endocarditis by S. lugdunensis are documented, device-related infections are less common.
Observation:
- Eight cases of pacemaker lead endocarditis due to S. lugdunensis have been reported.
- This report describes the ninth case of pacemaker lead endocarditis and the first documented case of automatic implantable cardioverter defibrillator (AICD) lead endocarditis caused by S. lugdunensis.
Findings:
- S. lugdunensis can infect cardiac implantable electronic device leads, leading to endocarditis.
- The case highlights the potential for S. lugdunensis to cause severe infections in patients with AICDs.
Implications:
- Increased awareness of S. lugdunensis as a pathogen in device-related endocarditis is crucial for timely diagnosis and treatment.
- This case expands the understanding of S. lugdunensis-associated cardiovascular device infections.
- Further research may be needed to elucidate the specific mechanisms and risk factors for S. lugdunensis device lead infections.
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