Pediatric Case of Staphylococcus lugdunensis-Induced Infective Endocarditis at Bovine Jugular Vein.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 30771326.
- Also identified by DOI 10.1016/j.athoracsur.2019.01.028.
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Abstract
A 2-year-old boy underwent repeat right ventricular outflow tract reconstruction (re-RVOTR) with a bovine jugular vein (BJV) graft. He presented with high fever on postoperative day 6. Blood and drainage effusion cultures were all positive for Staphylococcus lugdunensis and vancomycin was prescribed. Echocardiography showed vegetation at the BJV. Re-re-RVOTR was performed 51 days after re-RVOTR. In the operation, vegetation was adhered to the right-sided leaflet and three leaflets were degenerated. After complete BJV graft resection, an expanded polytetrafluoroethylene conduit with trileaflets was implanted. There was no sign of recurrent infection 8 months after the surgery.
Medical subject headings
- Endocarditis, Bacterial
- Jugular Veins
- Plastic Surgery Procedures
- Staphylococcus lugdunensis
- Ventricular Outflow Obstruction