Staphylococcus lugdunensis Endocarditis in A Patient Being Treated for Pyelonephritis
Journal Title: Journal of Microbiology and Infectious Diseases - Year 2018, Vol 8, Issue 1
Abstract
A 35 years old female with known chronic left pelvo-ureteric junction (PUJ) obstruction presented with recurrent pyrexia and left loin pain and was treated for pyelonephritis. She had a history of severe aortic valve (AV) regurgitation. After five days of broad spectrum antibiotics and a percutaneous nephrostomy, her fevers persisted. Staphylococcus lugdunensis was isolated from her blood culture and she was diagnosed with mitral valve endocarditis following an echocardiogram. She was transferred to a tertiary cardiothoracic unit where she underwent a mitral and aortic mechanical valve repair. After 6 weeks of intravenous antibiotic treatment she was discharged without signs of infection but with poor cardiac function. S. lugdunensis is a virulent organism which is thought to be underdiagnosed and is associated with aggressive and destructive endocarditis. An awareness of the organism as well as prompt diagnosis and treatment with effective multi-disciplinary management is needed to avoid substantial morbidity in these patients. Whilst S. lugdunensis is known to cause invasive endocarditis, it has never been reported following pyelonephritis. The significance of this case is that despite receiving appropriate and timely treatment the patient was left with deteriorating cardiac function. This is an important reminder that this organism must be taken seriously when isolated in the context of infection. J Microbiol Infect Dis 2018; 8(1):37-40 Keywords:
Authors and Affiliations
Christopher M Peake, Nicholas Faure-Walker, Elli DeMertzi
Keywords
Related Articles
- EP ID EP422954
- DOI 10.5799/jmid.404245
- Views 127
- Downloads 0
Intensive Care Unit-Acquired Infections and Association of These Infections with Mortality: A Prospective Study in a Turkish Tertiary Care Hospital
Objective: This study aimed to investigate epidemiological haracteristics of infections and risk factors for mortality in intensive care unit (ICU) patients. Methods:A total of 164 patients hospitalized at Ankara Numun...
Use of steroids for prolonged cholestasis secondary to acute hepatitis A infection
Hepatit A is usually a self-limited, asymptomatic infection. However, severe manifestations of hepatitis may occur rarely in adult patients. Here, we present a case of prolonged, relapsed cholestasis secondary to acute...
Sentetik insan katyonik antimikrobiyal peptidi olan hCAP-18/LL37’nin idrar yolu patojenlerine karşı anti-biyofim aktivitesi ve öldürücü etkinliği
Amaç: Cathelicidin LL37 mesane epitel hücrelerinin kimyasal bir savunma komponenti olup antimikrobiyal peptitler arasında idrar yolunda bakterilerin yapışmasını engelleyerek mukozal bağışıklıkta önemli bir role sahiptir....
Occupational exposures among healthcare workers: A teaching hospital sample
Objective: Healthcare workers (HCWs) are at risk for occupational injury associated with contaminated blood and body fluids. This study aims to examine the frequency and type of occupational injuries and to determine bes...
Orşiektominin nadir bir sebebi: Tedaviye cevap vermeyen brusella epididimiorşiti
Bruselloz Türkiye’de endemiktir ve brusella epididimiorşiti nadir görülen fakat olaylıkla atlanılan bir komplikasyonudur. 21 yaşında evli erkek hasta son 4 haftadır devam eden eden sağ skrotal kızarıklık, 2 gündür artan...