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Embolic Stroke and Meningitis Secondary to Staphylococcus lugdunensis Native Valve Endocarditis

Wafa Ali AlDhaleei1, Akshaya Srikanth Bhagavathula2, Rabia Aldoghaither3

  • 1Internal Medicine Specialist, Sheikh Khalifa Medical City, P.O. Box: 51900, Abu Dhabi, UAE.

Case Reports in Infectious Diseases
|June 12, 2019
PubMed

Insights

Staphylococcus lugdunensis endocarditis is aggressive and life-threatening. This case highlights severe complications including embolic stroke and meningitis, emphasizing the need for prompt diagnosis and treatment.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Neurology

Background:

  • Staphylococcus lugdunensis is a coagulase-negative staphylococcus.
  • It causes aggressive infective endocarditis with high mortality.
  • Endocarditis typically presents with sensitivity to Penicillin G, sometimes requiring surgery.

Observation:

  • A case of Staphylococcus lugdunensis endocarditis is presented.
  • The patient experienced severe complications.
  • Complications included embolic stroke and meningitis.

Findings:

  • Staphylococcus lugdunensis endocarditis can lead to devastating embolic stroke.
  • Meningitis is a rare but serious complication of S. lugdunensis endocarditis.
  • Aggressive clinical course and high mortality are characteristic.

Implications:

  • Early recognition and treatment of S. lugdunensis endocarditis are crucial.
  • Prompt management can prevent severe neurological complications.
  • This case underscores the importance of considering S. lugdunensis in endocarditis, even with typical sensitivities.

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