Fatal septic embolism due to Staphylococcus lugdunensis-induced bacteremia
| Autor: | Keiichi Hirose, Masaya Murata, Kazuyoshi Kanno, Akio Ikai, Motonori Ishidou, Kisaburo Sakamoto |
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| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.medical_treatment Embolism Bacteremia 030204 cardiovascular system & hematology Staphylococcus lugdunensis 03 medical and health sciences 0302 clinical medicine medicine Humans Child Septic embolism biology business.industry Endocarditis Bacterial General Medicine Staphylococcal Infections biology.organism_classification medicine.disease Anti-Bacterial Agents Cardiac surgery Surgery 030228 respiratory system Cardiothoracic surgery Infective endocarditis Vancomycin Female Norwood procedure Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 69:993-995 |
| ISSN: | 1863-6713 1863-6705 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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