title: Coagulase-negative staphylococcus infective endocarditis in a lupus patient with Libman-Sacks endocarditis.
abstract: Libman-Sacks endocarditis is the most widely encountered aseptic endocarditis among patients with systemic lupus erythematosus. Due to the deformed cardiac valves, secondary infective endocarditis should be considered in lupus patients with acute refractory heart failure and fever of unknown origin. The case is reported of a woman with lupus and Libman-Sacks endocarditis who had concurrent coagulase-negative Staphylococcus infective endocarditis that resulted in cerebral septic emboli and acute pulmonary edema. She underwent valve replacement surgery for acute heart failure, and gradually recovered with antibiotic treatment.
authors.forename: Gen-Min
authors.initials: GM
authors.lastname: Lin
authors.forename: Feng-Yee
authors.initials: FY
authors.lastname: Chang
authors.forename: Wen-Been
authors.initials: WB
authors.lastname: Wang
mesh_terms: D000368:Aged; D003030:Coagulase / Q000378:metabolism; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000378:metabolism / Q000382:microbiology; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology; D013203:Staphylococcal Infections / Q000150:complications* / Q000378:metabolism; D013212:Staphylococcus epidermidis / Q000378:metabolism; D014463:Ultrasonography
chemical_list: D003030:Coagulase