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Case Report

A Case of Pulmonary Artery Endarteritis due to Staphylococcus lugdunensis in Patient with Clinically Silent Patent Ductus Arteriosus

Mahn Lee, Hyun Jung Song, Jeong-A Lee1
The Ewha Medical Journal 2011;34(2):51-54. Published online: September 30, 2011

Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.

1Department of Internal Medicine, Hallym University College of Medicine, Anyang, Korea.

Corresponding author (jalee@hallym.ac.kr)

Copyright © 2011. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Staphylococcus lugdunensis (S. lugdunensis) is an unusually virulent coagulase-negative staphylococci (CNS) and uncommon cause of infective endocarditis (IE) involving mainly native left sided valves. S. lugdunensis IE, which was described previously as "surreptitious" and "wolf in sheep's clothing", runs an aggressive course with a high rate of severe in-hospital complications. Therefore, early surgical treatment has been considered for the treatment of S. lugdunensis IE. However, we experienced a case of S. lugdunensis pulmonary endarteritis which was cured with antibiotic therapy alone.
  • Keywords: Staphylococcus lugdunensis; Pulmonary endarteritis
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Fig. 1
Transthorasic echocardiography finding. Patent ductus arteriosus communicated with descending aorta and Lt. pulmonary artery is noted.
emj-34-51-g001.jpg
Fig. 2
Transthorasic echocardiography finding. A 1.5×1.0 cm sized vegetation at left pulmonary artery is seen.
emj-34-51-g002.jpg
Fig. 3
Chest CT finding. Chest CT on hospital day 3 shows embolism in left pulmonary artery.
emj-34-51-g003.jpg
Fig. 4
Chest CT finding. One month later, embolism in left pulmonary artery is disappeared.
emj-34-51-g004.jpg

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      A Case of Pulmonary Artery Endarteritis due to Staphylococcus lugdunensis in Patient with Clinically Silent Patent Ductus Arteriosus
      Ewha Med J. 2011;34(2):51-54.   Published online September 30, 2011
      DOI: https://doi.org/10.12771/emj.2011.34.2.51
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      A Case of Pulmonary Artery Endarteritis due to Staphylococcus lugdunensis in Patient with Clinically Silent Patent Ductus Arteriosus
      Ewha Med J. 2011;34(2):51-54.   Published online September 30, 2011
      DOI: https://doi.org/10.12771/emj.2011.34.2.51
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      A Case of Pulmonary Artery Endarteritis due to Staphylococcus lugdunensis in Patient with Clinically Silent Patent Ductus Arteriosus
      Image Image Image Image
      Fig. 1 Transthorasic echocardiography finding. Patent ductus arteriosus communicated with descending aorta and Lt. pulmonary artery is noted.
      Fig. 2 Transthorasic echocardiography finding. A 1.5×1.0 cm sized vegetation at left pulmonary artery is seen.
      Fig. 3 Chest CT finding. Chest CT on hospital day 3 shows embolism in left pulmonary artery.
      Fig. 4 Chest CT finding. One month later, embolism in left pulmonary artery is disappeared.

      Fig. 1

      Fig. 2

      Fig. 3

      Fig. 4

      A Case of Pulmonary Artery Endarteritis due to Staphylococcus lugdunensis in Patient with Clinically Silent Patent Ductus Arteriosus
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