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Septic Embolic Stroke Resulting From Staphylococcus lugdunensis Endocarditis
Htoo Kyaw1, Atif Z Shaikh1,2, Gokul Yaratha1
1Department of Internal Medicine, The Brooklyn Hospital Center, Brooklyn, NY.
Ochsner Journal
|June 23, 2017
Summary
Staphylococcus lugdunensis infective endocarditis is a rare but serious condition. Early surgical intervention is often necessary for effective treatment of this aggressive infection.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Staphylococcus lugdunensis, a coagulase-negative staphylococci (CoNS), causes infective endocarditis.
- CoNS infections are typically chronic but can lead to systemic disease.
- S lugdunensis endocarditis, though rare, is severe, mirroring Staphylococcus aureus endocarditis, and necessitates aggressive treatment and valve replacement.
Observation:
- A 63-year-old man presented with stroke symptoms (aphasia, hemiplegia).
- He developed fever and was diagnosed with S lugdunensis bacteremia.
- Imaging revealed mitral valve vegetations, indicating infective endocarditis.
Findings:
- Despite antibiotic treatment, the patient had persistent bacteremia.
- Surgical mitral valve replacement was required for treatment.
- Septic embolic cerebrovascular events from S lugdunensis endocarditis are rarely documented.
Implications:
- S lugdunensis infective endocarditis can have a severe and rapid course.
- Early surgical intervention is crucial for managing S lugdunensis endocarditis.
- This case highlights a rare presentation of S lugdunensis endocarditis with cerebrovascular complications.
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