title: Retropubic Midurethral Sling Colonization With Staphylococcus lugdunensis.
abstract: We present a case of Staphylococcus lugdunensis colonization of a midurethral sling. Staphylococcus lugdunensis is a common skin colonizer and has been isolated in cases of implanted prosthetic devices.
  
  
  
  A 52-year-old female presented with suprapubic pain and recurrent urinary tract infections with S. lugdunensis starting 3 months after a retropubic sling procedure. After several months of continued pain and a suspicion of a mesh-related infection, the sling was removed. Culture of the sling material grew oxacillin-susceptible S. lugdunensis. Her symptoms resolved after sling removal and a postoperative course of antibiotics.
  
  
  
  To our knowledge, this is the first reported case of S. lugdunensis colonization of vaginal mesh. Surgeons should be aware and knowledgeable about the possible complications arising from insertion of midurethral slings.
authors.affiliation: From the University of Oklahoma Health Sciences Center, Oklahoma City, OK.
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Stone
authors.forename: Karen M
authors.initials: KM
authors.lastname: Swarer
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Barenberg
authors.forename: Dena E
authors.initials: DE
authors.lastname: OʼLeary
mesh_terms: D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D020878:Device Removal; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D011184:Postoperative Period; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D057787:Staphylococcus lugdunensis / Q000302:isolation & purification*; D053825:Suburethral Slings / Q000382:microbiology*; D013526:Surgical Mesh / Q000382:microbiology*; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000382:microbiology*; D014596:Uterine Prolapse / Q000601:surgery; D065093:beta-Lactamase Inhibitors / Q000627:therapeutic use
chemical_list: D065093:beta-Lactamase Inhibitors; D019980:Amoxicillin-Potassium Clavulanate Combination