Case reports
Staphylococcus lugdunensis
endocarditis
N Farraga, P Leeb, R Gunneyc, G M Viagappand
a Department of
Microbiology, St George's Hospital, London, b Department of Microbiology, North Middlesex
Hospital, London, c Department of
Radiology, St George's Hospital, London, d Department
of Microbiology, University Hospital Lewisham, High Street, Lewisham,
London SE13 6LH, UK
Correspondence to: Dr Viagappan
Submitted 6 July 1999;
Accepted 6 September 2000
A case of Staphylococcus lugdunensis
endocarditis is presented with low back pain suggesting a secondary
bone focus of infection. An umbilical skin lesion may have been an
additional embolic phenomenon. The case highlights the aggressive
nature of S lugdenensis endocarditis compared with other coagulase negative staphylococci and its
association with native heart valves. In addition the importance of
full identification of coagulase negative staphylococci isolated from
patient samples in a case of suspected S
lugdenensis infection is emphasised. Antibiotic treatment may be
insufficient alone in the treatment of S
lugdenensis endocarditis and early recourse to surgical
intervention and valve replacement should therefore be considered.
Keywords: Staphylococcus lugdunensis; endocarditis; coagulase negative staphylococci
© 2001 by The Fellowship of Postgraduate Medicine
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