title: Embolic Stroke Caused by Staphylococcus lugdunensis Endocarditis Complicating Vasectomy in a 36-Year-Old Man.
abstract: Staphylococcus lugdunensis is part of the native flora in the inguinal region of the body. Inguinal surgeries, such as vasectomy, place carriers of this aggressive pathogen at risk for contamination. Native-valve endocarditis caused by coagulase-negative S. lugdunensis has a rapid and complicated clinical course. The pathogenicity of this organism is not limited to cardiac valvular destruction. We report the case of a 36-year-old man who presented with S. lugdunensis endocarditis, dysarthria, and hemiparesis 5 weeks after a vasectomy. To our knowledge, this is the first report of embolic stroke caused by S. lugdunensis endocarditis. In addition, we discuss the relevant medical literature.
authors.forename: Manova
authors.initials: M
authors.lastname: David
authors.forename: Megan
authors.initials: M
authors.lastname: Loftsgaarden
authors.forename: Felix
authors.initials: F
authors.lastname: Chukwudelunzu
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D008297:Male; D012867:Skin / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D057787:Staphylococcus lugdunensis / Q000302:isolation & purification*; D020521:Stroke / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D015912:Thrombolytic Therapy; D016896:Treatment Outcome; D014659:Vasectomy / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Endocarditis, bacterial/diagnosis/drug therapy/etiology/surgery; heart valve diseases/surgery; intracranial embolism and thrombosis/complications; mitral valve insufficiency/microbiology; postoperative complications; staphylococcal infections/complications/drug therapy/etiology; stroke/etiology; treatment outcome; vasectomy/adverse effects