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Type: Journal article
Title: Endovascular stent-associated infection with Staphyloccus lugdenensis
Author: Morris, T.
Davies, O.
Bradlow, W.
Jeffery, K.
Bowler, C.
Citation: BMJ Case Reports, 2013; 2013(feb18 1):008357-1-008357-3
Publisher: BMJ Group
Issue Date: 2013
ISSN: 1757-790X
Statement of
Thomas C Morris, Olubanke Davies, William M Bradlow, Katie Jeffery, Ian C J W Bowler
Abstract: An elderly woman presented febrile 5 days after stenting of multiple coronary arteries. Echocardiography showed a thickening of the aortic root, raising the possibility of stent infection. Four of four blood culture bottles grew Staphylococcus lugdunensis and repeat echo showed an aortic root abscess. Despite appropriate antibiotic treatment, the patient died. A 24-year-old man with a ventricular septal defect presented febrile 4 weeks after stenting of an aortic coarctation. Initial transoesophageal echo found no vegetations around the stent or elsewhere. Four of six blood culture bottles grew S lugdunensis. Following an episode of hypoxia, the imaging was repeated and a new large vegetation was seen on the pulmonary valve with two thin-walled cavities in the lungs on a CT pulmonary angiogram. The patient was treated with a long course of appropriate antibiotic therapy and discharged from hospital 6 weeks later.
Rights: Copyright 2013 BMJ Publishing Group.
DOI: 10.1136/bcr-2012-008357
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