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CASE REPORT
Year : 2020  |  Volume : 12  |  Issue : 4  |  Page : 231-233

Recurrent Staphylococcus lugdunensis osteomyelitis of the lumbar spine in a patient on chronic hemodialysis


1 Division of Infectious Diseases, Stony Brook Medical Center, Stony Brook, NY, USA
2 Division of Infectious Diseases, Veterans Affairs Medical Center, Northport, NY, USA
3 Department of Microbiology, Veterans Affairs Medical Center, Northport, NY, USA

Correspondence Address:
Dr. George Psevdos
Veterans Affairs Medical Center, 79 Middleville Road, Northport, NY 11768
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jgid.jgid_17_20

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Staphylococcus lugdunensis is an emerging coagulase-negative Staphylococcus regarded as a formidable pathogen capable of causing significant infections at various body sites including bone and joints. We report the case of a Caucasian elderly male with recurrent lumbar osteomyelitis due to S. lugdunensis. He had a history of chronic low back pain. Besides chronic kidney failure and need for hemodialysis, he had no other history of immunosuppression. He did not have fever or leukocytosis; however, the erythrocyte sedimentation rate was elevated, and repeated blood cultures from the periphery and the hemodialysis access (tunneled catheter) were continuously positive for S. lugdunensis. The diagnosis was made by bone biopsy and culture. The bacteremia cleared after removing of the dialysis catheter. The patient received 8 weeks of antibiotic therapy for the osteomyelitis.


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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008