Fatal septic embolism due to Staphylococcus lugdunensis-induced bacteremia.
Norwood procedure
Right ventricular–pulmonary artery conduit
Septic embolism
Staphylococcus lugdunensis
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
07
04
2019
accepted:
20
12
2020
pubmed:
5
1
2021
medline:
21
5
2021
entrez:
4
1
2021
Statut:
ppublish
Résumé
Staphylococcus lugdunensis infective endocarditis (IE) is very rare in children. A female neonote presented with fever on the 29th postoperative day after undergoing a modified Norwood procedure (right ventricular-pulmonary artery [RV-PA] conduit). Blood cultures were positive for S. lugdunensis. Echocardiography did not demonstrate vegetation. Therefore, we made a diagnosis of catheter-related bacteremia instead of IE. Cultures were negative 3 days after treatment initiation with intravenous vancomycin. One month after discharge, she developed acute hypoxia and could not be revived because of obstruction of RV-PA conduit with large vegetation. Even in S. lugdunensis bacteremia without IE, surgical treatment should be considered early.
Identifiants
pubmed: 33394239
doi: 10.1007/s11748-020-01579-w
pii: 10.1007/s11748-020-01579-w
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
993-995Références
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