Staphylococcus lugdunensis Endocarditis After Angiography: In Response

Staphylococcus lugdunensisInfection Sites: Predominance of Abscesses in the Pelvic Girdle Region

“…Nine cases of endocarditis following a skin breach in the pelvic girdle region have been reported [4][5][6][7][8]. It has been suggested that the perineal region may be the natural habitat of S. lugdunensis [3] and that organisms from this region may be hematogenously borne to other sites [5,8]. Our finding, that 9 of 14 significant S. lugdunensis isolates were from infections in the pelvic girdle region, adds support to this hypothesis.…”

“…lugdunensis has been reported to be the cause of 130 cases of endocarditis worldwide since 1988 [2][3][4][5][6][7][8]. The majority of these infections occurred on native valves and followed an aggressive course associated with a high mortality rate.…”

“…The true incidence of S. lugdunensis endocarditis is unknown. Nine cases of endocarditis following a skin breach in the pelvic girdle region have been reported [4][5][6][7][8]. It has been suggested that the perineal region may be the natural habitat of S. lugdunensis [3] and that organisms from this region may be hematogenously borne to other sites [5,8].…”