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Fatal septic embolism due to Staphylococcus lugdunensis-induced bacteremia

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Abstract

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.

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References

  1. Niwa K, Nakazawa M, Tateno S, Yoshinaga M, Terai M. Infective endocarditis in congenital heart disease: Japanese national collaboration study. Heart. 2005;91:795–800.

    Article  CAS  Google Scholar 

  2. Li W, Somerville J. Infective endocarditis in the grown-up congenital (GUCH) population. Eur Heart J. 1998;19:166–73.

    Article  CAS  Google Scholar 

  3. Saiman L, Prince A, Gersony WM. Pediatric infective endocarditis in the modern era. J Pediatr. 1993;122:847–53.

    Article  CAS  Google Scholar 

  4. Anguera I, Del Río A, Miró JM, Matínez-Lacasa X, Marco F, et al. Staphylococcus lugdunensis infective endocarditis: description of 10 cases and analysis of native valve, prosthetic valve, and pacemaker lead endocarditis clinical profiles. Heart. 2005;91:e10.

    Article  CAS  Google Scholar 

  5. Liu PY, Huang YF, Tang CW, Chen YY, Hsieh KS, et al. Staphylococcus lugdunensis infective endocarditis: a literature review and analysis of risk factors. J Microbiol Immunol Infect. 2010;43:478–84.

    Article  Google Scholar 

  6. Guillaume MP, Dubos F, Godart F. Staphylococcus lugdunensis endocarditis in children. Cardiol Young. 2017;27:784–7.

    Article  Google Scholar 

  7. Durack DT, Lukes AS, Bright DK. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Duke Endocarditis Service. Am J Med. 1994;96:200–9.

    Article  CAS  Google Scholar 

  8. Hirose K, Ikai A, Nagato H, Murata M, Imai K, Kanno K, et al. Pediatric Case of Staphylococcus lugdunensis-Induced Infective Endocarditis at Bovine Jugular Vein. Ann Thorac Surg. 2019;108:e185–7.

    Article  Google Scholar 

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Acknowledgements

We thank all staff in the Division of Pediatric Cardiology and Pathology, Mt. Fuji Shizuoka Children’s Hospital for providing us with accurate information.

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  1. Department of Cardiovascular Surgery, Mt. Fuji Shizuoka Children’s Hospital, Urushiyama 860, Aoi-ku, Shizuoka city, Shizuoka, 420-8660, Japan

    Motonori Ishidou, Kazuyoshi Kanno, Masaya Murata, Keiichi Hirose, Akio Ikai & Kisaburo Sakamoto

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  1. Motonori Ishidou
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  2. Kazuyoshi Kanno
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  3. Masaya Murata
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  4. Keiichi Hirose
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  5. Akio Ikai
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  6. Kisaburo Sakamoto
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Correspondence to Motonori Ishidou.

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Ishidou, M., Kanno, K., Murata, M. et al. Fatal septic embolism due to Staphylococcus lugdunensis-induced bacteremia. Gen Thorac Cardiovasc Surg 69, 993–995 (2021). https://doi.org/10.1007/s11748-020-01579-w

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  • DOI: https://doi.org/10.1007/s11748-020-01579-w

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