Large vegetations in Staphylococcus lugdunensis endocarditis.
Staphylococcus lugdunensis, a recently described coagulase-negative Staphylococcus, is increasingly being recognized as a cause of a highly aggressive and destructive form of native valve endocarditis. We describe a pediatric case associated with large vegetations requiring surgical intervention. Careful attention to microbiologic methods will avoid misidentification and inappropriate management.
Murillo
Jeremias
J
Division of Pediatric Infectious Diseases, Children's Hospital of New Jersey, Newark, New Jersey 07112, USA.
McMahon
Claire
C
Starr
Joanne
J
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures / Q000379:methods; D002675:Child, Preschool; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D011182:Postoperative Care; D018570:Risk Assessment; D012720:Severity of Illness Index; D012805:Sickle Cell Trait / Q000150:complications / Q000175:diagnosis; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013210:Staphylococcus / Q000145:classification* / Q000302:isolation & purification; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000382:microbiology* / Q000601:surgery
D000900:Anti-Bacterial Agents