Embolic Stroke Caused by Staphylococcus lugdunensis Endocarditis Complicating Vasectomy in a 36-Year-Old Man

M, David; Loftsgaarden, Megan; Chukwudelunzu, Felix E.

doi:10.14503/thij-14-4566

Cited by 10 publications

(8 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our patient, we hypothesized that the infection was most likely contracted during colonoscopy as a result of bacterial translocation from the perineal region to the bloodstream during the polypectomy or due to a mucosal tear during the procedure. A case report of embolic stroke caused by S. lugdunensis IE after vasectomy also shows that procedures involving instrumentation of the perineal region may lead to this systemic infection [ 16 ]. Additionally, the patient’s compromised immune system as a result of HIV infection increased her likelihood of bloodstream infection [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Staphylococcus lugdunensis Infectious Endocarditis Complicated by Embolic Stroke After Colonoscopy in a 58-Year-Old Female

Ahmed¹,

Alsaiqali²,

Gorantla³

et al. 2022

Cureus

View full text Add to dashboard Cite

There are a significant number of colonoscopies and esophagogastroduodenoscopies (EGDs) done in the United States every year and post-endoscopic infections are frequently seen. Data demonstrating causality between endoscopic procedures and infectious endocarditis (IE) or that antibiotic prophylaxis prior to endoscopic procedures protects against IE is still lacking. Here we have presented the case of a patient who underwent diagnostic colonoscopy as part of a malignancy workup and was later found to be septic with Staphylococcus lugdunensis bacteremia and had IE. We hypothesized that the infection was most likely contracted during colonoscopy as a result of bacterial translocation from the perineal region to the bloodstream. This case report highlights the need for further studies investigating the efficacy of prophylactic antibiotics in reducing the risk of IE after colonoscopies.

show abstract

Section: Discussionmentioning

confidence: 99%

Staphylococcus lugdunensis Infectious Endocarditis Complicated by Embolic Stroke After Colonoscopy in a 58-Year-Old Female

Ahmed¹,

Alsaiqali²,

Gorantla³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…The neurological manifestations secondary to septic embolization can range from altered sensation, weakness, and visual defects [14]. It appears that embolic stroke secondary to S. lugdunensis endocarditis is highly seen in middle-aged men and women [2].…”

Section: Discussionmentioning

confidence: 99%

Embolic Stroke and Meningitis Secondary to Staphylococcus lugdunensis Native Valve Endocarditis

Aldhaleei

Bhagavathula

Aldoghaither

2019

Case Reports in Infectious Diseases

View full text Add to dashboard Cite

Staphylococcus lugdunensis is a coagulase-negative staphylococcus that leads to destructive infective endocarditis. The clinical course of S. lugdunensis endocarditis is usually aggressive with a high mortality rate compared to endocarditis caused by other coagulase-negative staphylococcal species. Despite that, it is usually sensitive to Penicillin G, and surgical intervention is sometimes warranted. Here, we report a case of S. lugdunensis endocarditis complicated by both embolic stroke and meningitis.

show abstract

“…The presence of hardware can increase the risk for biofilm formation, such as in the case of shunt infection 10. Apart from this, there is one case report of a septic embolus from S. lugdunensis endocarditis resulting in acute stroke 11…”

Section: Discussionmentioning

confidence: 99%

Treatment of aStaphylococcus lugdunensiscervical epidural abscess

Noh¹,

Zervos

Chen

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

First reported in 1988, Staphylococcus lugdunensis is a virulent coagulase-negative Staphylococcus species often associated with endocarditis. This is the first case report describing this infection in the cervical spine. A 58-year-old, left-handed Caucasian woman with no significant medical history presented with neck and left arm pain. Neurological examination revealed mild left deltoid 4/5 weakness and myelopathy. She was found to have an epidural cervical spinal cord mass that was causing severe cord compression and underwent partial anterior cervical decompression of the mass. On entering what was believed to be the mass, yellow-tinged fluid was encountered. An abscess was immediately suspected, so the dura was not entered. The specimen sent for culture was identified a day later as S. lugdunensis. A two-dimensional echocardiogram was negative for vegetations. A peripherally inserted central catheter line was placed and the patient discharged on 6 weeks of physical therapy and 6–8 weeks of intravenous cefazolin.

show abstract

Embolic Stroke Caused by Staphylococcus lugdunensis Endocarditis Complicating Vasectomy in a 36-Year-Old Man

Cited by 10 publications

References 11 publications

Staphylococcus lugdunensis Infectious Endocarditis Complicated by Embolic Stroke After Colonoscopy in a 58-Year-Old Female

Staphylococcus lugdunensis Infectious Endocarditis Complicated by Embolic Stroke After Colonoscopy in a 58-Year-Old Female

Embolic Stroke and Meningitis Secondary to Staphylococcus lugdunensis Native Valve Endocarditis

Treatment of aStaphylococcus lugdunensiscervical epidural abscess

Contact Info

Product

Resources

About