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You are here: Contents > 2015 > Volume 24 Number 2 March 2015 > LIBMAN-SACKS ENDOCARDITIS > Coagulase-Negative Staphylococcus Infective Endocarditis in a Lupus Patient with Libman-Sacks Endocarditis

Coagulase-Negative Staphylococcus Infective Endocarditis in a Lupus Patient with Libman-Sacks Endocarditis

Gen-Min Lin1,2, Feng-Yee Chang2, Wen-Been Wang3

1Department of Medicine, Hualien Armed Forces General Hospital, Hualien, 2Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, 3Department of Medicine, Tri-Service General Hospital – SongShang Branch, Taiwan

Libman-Sacks endocarditis is the most widely encountered aseptic endocarditis among patients with systemic lupus erythematosus. Due to the deformed cardiac valves, secondary infective endocarditis should be considered in lupus patients with acute refractory heart failure and fever of unknown origin. The case is reported of a woman with lupus and Libman-Sacks endocarditis who had concurrent coagulase-negative Staphylococcus infective endocarditis that resulted in cerebral septic emboli and acute pulmonary edema. She underwent valve replacement surgery for acute heart failure, and gradually recovered with antibiotic treatment.

The Journal of Heart Valve Disease 2015;24:236-238


Coagulase-Negative Staphylococcus Infective Endocarditis in a Lupus Patient with Libman-Sacks Endocarditis

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