Rare case of implantable cardioverter defibrillator infection caused by Stenotrophomonas maltophilia and Pantoea calida
| Autor: | Randy Lieberman, Firas Ajam, Mustafa Ajam, Mohamed Shokr |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Prosthesis-Related Infections medicine.drug_class Stenotrophomonas maltophilia medicine.medical_treatment Antibiotics Pantoea calida Cardiomyopathy 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Rare Disease Rare case Humans Medicine 030212 general & internal medicine Intensive care medicine biology Pantoea business.industry General Medicine Middle Aged Tissue sampling Implantable cardioverter-defibrillator medicine.disease biology.organism_classification Defibrillators Implantable Female Gram-Negative Bacterial Infections business |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | Despite the numerous advancements in cardiac implantable electronic defibrillator (CIED) designs and implantation techniques, device-related infections continue to represent significant morbidity and mortality. Although Gram-positive bacteria remain the most commonly reported organisms, various other bacterial families have been reported. We describe a 61-year-old patient with a history of non-ischaemic cardiomyopathy who presented with implantable cardioverter defibrillator pocket infection due to Stenotrophomonas maltophilia and Pantoea calida that developed a few days following the device generator replacement. Early device explantation, tissue sampling and initiation of sensitivity-directed antibiotics are necessary steps for early diagnosis and management of such CIED-related infections. S. maltophilia and P. calida should be added to the expanding list of the causative organisms behind CIED-related infections. Our case and available literature demonstrated excellent sensitivity of these two organisms to sulfamethoxazole-trimethoprim treatment. |
| Databáze: | OpenAIRE |
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