Fatal septic embolism due to Staphylococcus lugdunensis-induced bacteremia.
Motonori IshidoKazuyoshi KannoMasaya MurataKeiichi HiroseAkio IkaiKisaburo SakamotoPublished in: General thoracic and cardiovascular surgery (2021)
Staphylococcus lugdunensis infective endocarditis (IE) is very rare in children. A female neonote presented with fever on the 29th postoperative day after undergoing a modified Norwood procedure (right ventricular-pulmonary artery [RV-PA] conduit). Blood cultures were positive for S. lugdunensis. Echocardiography did not demonstrate vegetation. Therefore, we made a diagnosis of catheter-related bacteremia instead of IE. Cultures were negative 3 days after treatment initiation with intravenous vancomycin. One month after discharge, she developed acute hypoxia and could not be revived because of obstruction of RV-PA conduit with large vegetation. Even in S. lugdunensis bacteremia without IE, surgical treatment should be considered early.
Keyphrases
- pulmonary artery
- pulmonary hypertension
- mycobacterium tuberculosis
- coronary artery
- staphylococcus aureus
- gram negative
- climate change
- pulmonary arterial hypertension
- drug induced
- biofilm formation
- liver failure
- high glucose
- acute kidney injury
- young adults
- computed tomography
- endothelial cells
- high dose
- diabetic rats
- methicillin resistant staphylococcus aureus
- respiratory failure
- multidrug resistant
- left ventricular
- minimally invasive
- heart failure
- cystic fibrosis
- pseudomonas aeruginosa
- low dose
- intensive care unit
- escherichia coli
- oxidative stress
- hepatitis b virus
- candida albicans