PT  - JOURNAL ARTICLE
AU  - Kyaw, Htoo
AU  - Shaikh, Atif Z.
AU  - Yaratha, Gokul
AU  - Deepika, Misra
TI  - Septic Embolic Stroke Resulting From <em><span class="named-content genus-species" id="named-content-1">Staphylococcus lugdunensis</span></em> Endocarditis
DP  - 2017 Jun 20
TA  - Ochsner Journal
PG  - 184--188
VI  - 17
IP  - 2
4099  - http://www.ochsnerjournal.org/content/17/2/184.short
4100  - http://www.ochsnerjournal.org/content/17/2/184.full
SO  - Ochsner J2017 Jun 20; 17
AB  - Background: Staphylococcus lugdunensis, a member of the coagulase-negative staphylococci (CoNS), has been recognized as a causal organism for infective endocarditis since the 1980s. Although most CoNS have an insidious and chronic nature, they are involved in a variety of systemic infections. S lugdunensis infective endocarditis is a rare entity but is as catastrophic as Staphylococcus aureus infective endocarditis and requires aggressive antibiotic therapy and, typically, valve replacement. S lugdunensis infective endocarditis–induced septic embolic cerebrovascular accident has rarely been reported in the literature.Case Report: We present the case of a 63-year-old African American man who presented with sudden-onset aphasia and right-sided hemiplegia and was admitted for the management of cerebrovascular accident. Afterwards, he developed a fever and was found to have S lugdunensis bacteremia, with subsequent imaging revealing vegetations of the mitral valve. Despite being treated with culture-appropriate antibiotics, he remained persistently bacteremic and required surgical mitral valve replacement.Conclusion: S lugdunensis infective endocarditis is rare but can have a malignant course and requires early surgical intervention in most cases.