Document Detail


Multiple mycotic aneurysms reveal Staphylococcus lugdunensis endocarditis in a young patient.
MedLine Citation:
PMID:  20674979     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Mycotic aneurysms are rare, and depending on their location, can threaten functional prognosis. We report on a 17-year-old girl with no previous history of cardiovascular or infectious disease, referred to our Department of Cardiology with right hemiplegia and aphasia. A neurological evaluation revealed thrombosis of a mycotic cerebral aneurysm, complicated by ischemic and hemorrhagic infarction. Transthoracic echocardiography indicated huge, highly mobile mitral vegetation associated with a mitral regurgitation with a triple stream. Hemocultures isolated Staphylococcus lugdunensis. Shortly afterward, she developed bilateral tibial and pedal mycotic aneurysm. The patient received antibiotics, with minor neurological improvement initially, but she soon died because of a brain herniation. Based on our findings in this case, we discuss the features of endocarditis attributable to S. lugdunensis.
Authors:
Asmaa Tamdy; Fedoua El Louali; Manal Ounzar; Hanane Fettouhi; Hanane Hajkacem; Ibtissam Fellat; Jamila Zarzur; Leila Sbihi; Nawal Doghmi; Latifa Oukerraj; Mouhamed Cherti
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Publication Detail:
Type:  Journal Article     Date:  2010-08-03
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  40     ISSN:  1527-3288     ISO Abbreviation:  Heart Lung     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  United States    
Other Details:
Languages:  eng     Pagination:  352-7     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Faculty of Medicine and Pharmacy, Department of Cardiology B, University Mouhamed V, Rabat, Morocco.
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