Endovascular stent-associated infection with Staphylococcus lugdunensis.
BMJ Case Rep
; 20132013 Feb 18.
Article
in En
| MEDLINE
| ID: mdl-23420729
ABSTRACT
An elderly woman presented febrile 5 days after stenting of multiple coronary arteries. Echocardiography showed a thickening of the aortic root, raising the possibility of stent infection. Four of four blood culture bottles grew Staphylococcus lugdunensis and repeat echo showed an aortic root abscess. Despite appropriate antibiotic treatment, the patient died. A 24-year-old man with a ventricular septal defect presented febrile 4 weeks after stenting of an aortic coarctation. Initial transoesophageal echo found no vegetations around the stent or elsewhere. Four of six blood culture bottles grew S lugdunensis. Following an episode of hypoxia, the imaging was repeated and a new large vegetation was seen on the pulmonary valve with two thin-walled cavities in the lungs on a CT pulmonary angiogram. The patient was treated with a long course of appropriate antibiotic therapy and discharged from hospital 6 weeks later.
Full text:
1
Database:
MEDLINE
Main subject:
Staphylococcal Infections
/
Stents
/
Prosthesis-Related Infections
/
Staphylococcus lugdunensis
Type of study:
Etiology_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
En
Year:
2013
Type:
Article