A Rare Case of AICD Endocarditis caused by Staphylococcus Saprophyticus Treated Successfully with Antibiotics

Abstract

To date, there have been two cases of endocarditis caused by S. saprophyticus reported in the literature; both involved native valves and had serious to deadly courses. We report the first case of endocarditis of a prosthesis due to S. saprophyticus; it appeared to affect the right atrium and possibly the mitral valve as well. The infection did not occur as a result of urinary tract infection; it is assumed that the causative agent may have entered the body through a tunneled catheter for hemodyalisis, though the catheter insertion site exhibited no signs of infection. In addition, this case represents the first report of endocarditis caused by S. saprophyticus that was successfully treated with antibiotic therapy. This case illustrates the potential for infection of a prosthesis in addition to native valves caused by S. saprophyticus and also the potential for successful treatment with antibiotics.