Cited by 101Infective Endocarditis Diagnosis and ManagementStreptococcal Infections and TreatmentsCardiac Valve Diseases and Treatments

Staphylococcus lugdunensis Infective Endocarditis: A Literature Review and Analysis of Risk Factors

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Liu, Po-Yen, Huang, Yung-Feng, Tang, Chia-Wan, Chen, Ying-Yao, Hsieh, Kai-Sheng, Ger, Luo-Ping, Chen, Yao-Shen, Liu, Yung-Ching·2010·Journal of Microbiology, Immunology and Infection

Abstract

Background/purpose Infective endocarditis caused by Staphylococcus lugdunensis is a rare disease. Since its first description in 1988, there have only been a few reports of this disease and the causative organism. These publications were primarily case reports and brief case series. We conducted a literature review to identify the nature of the disease and its risk factors.Methods We retrospectively reviewed the cases reported between 1988 and 2008 by searching the relevant literature using the keywords "endocarditis" and "Staphylococcus lugdunensis" in the Medline database. All cases included met the definition of the modified Duke criteria.Results For the period 1988-2008, 67 cases from 27 articles were reviewed. The mean age of individuals was 53.9 years. Left-sided valvular endocarditis represented 52 (82.5%) of cases and native-valve endocarditis was evident in 48 (78.7%) of cases. A large proportion (82%) of 50 S. lugdunensis strains were susceptible to penicillin. Valve replacement operations were performed in 42 (66.7%) patients and the mortality rate was 38.8%. Univariate analysis showed a higher mortality rate in patients aged more than 50 years, those treated before 1995, those treated with antibiotics alone, and those with growth not detected by echocardiography. Medical treatment alone was the independent risk factor for mortality by multivariate analysis.Conclusion S. lugdunensis endocarditis led to substantial morbidity and mortality. Detailed microbiological identification, echocardiography evaluation, and valve replacement may improve the clinical outcome of individuals with S. lugdunensis endocarditis.

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  1. [11]11. Shuttleworth R, Colby WD. Staphylococcus lugdunensis endocardi- tis. J Clin Microbiol 1992;30:1948-52.
  2. [18]18. Farrag N, Lee P, Gunney R, Viagappan GM. Staphylococcus lugdunensis endocarditis. Postgrad Med J 2001;77:259-60.

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Authors
Liu, P.-Y., Huang, Y.-F., Tang, C.-W., Chen, Y.-Y., Hsieh, K.-S., Ger, L.-P., Chen, Y.-S., & Liu, Y.-C.
Affiliations
  • Kaohsiung Veterans General Hospital (TW)
  • Taipei Medical University-Shuang Ho Hospital (TW)
Corresponding author
Huang, Yung-Feng
Venue
Journal of Microbiology, Immunology and Infection
Publisher
Elsevier BV
Published
2010-12
Volume
43
Issue
6
Pages
478-484
ISSN
1684-1182 (ISSN-L)
OpenAlex
W2053855237
Cited by
101
References
45
Citations by year
2026: 3 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 12 · 2021: 9 · 2020: 6 · 2019: 6 · 2018: 7 · 2017: 3 · 2016: 7 · 2015: 4 · 2014: 9 · 2013: 4 · 2012: 3
FWCI
3.46
Type
journal article
Language
en
Open access
Locations
  • Journal of Microbiology Immunology and Infection (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Streptococcal Infections and Treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
Keywords
Staphylococcus lugdunensis, infective endocarditis, risk factors, mortality, native valve endocarditis, penicillin susceptibility, valve replacement, echocardiographic detection, antibiotic therapy, modified Duke criteria
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Anti-Bacterial Agents, Child, Echocardiography, Endocarditis, Bacterial, Female, Humans, Male, Middle Aged, Prognosis, Risk Factors, Staphylococcal Infections, Young Adult, Staphylococcus lugdunensis

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