Objective:to describe the clinical fea-tures of a case of infective endocarditis caused by Staph-ylococcus lugdunensis,followed by cerebral embolism,spleen embolism and tendon rupture.Methods:the clin-ical data of a 22-year-old female patient with aphasia hemiplegia and abdominal pain were collected.Relevant examinations such as routine blood test,myocardial en-zyme spectrum,electrocardiogram(ECG),cardiac color Doppler ultrasound,brain magnetic resonance,abdomi-nal computed tomography(CT)and blood culture were completed,and anti infection treatment was carried out according to the drug sensitivity test.Results:brain mag-netic resonance imaging(MRI)showed cerebral infarction in the left basal ganglia,cardiac color Doppler ultrasound showed mitral valve vegetation and abscess formation,and abdominal CT showed splenic infarction.After anti infection treatment,the patient’s condition gradually improved,but the patient had sudden arrhythmia in the recovery period.Color Doppler ultrasound showed rup-ture of the mitral tendinous cord and valve prolapse.The condition was improved after surgical treatment.Conclu-sion:the first manifestation of Staphylococcus lugdunen-sis infection is cerebral infarction,which is relatively rare in the clinic setting.The main manifestation of this case is aphasia hemiplegia with abdominal pain.Blood cul-ture and identification show Staphylococcus lugdunensis,which is rare in adolescent patients.The infection has a rapid onset,rapid progress and causes serious valve dam-age.Timely strain identification and drug sensitivity test are conducive to accurate diagnosis and treatment.Valve surgery is often necessary.
展开▼
