Management of recurrent pacemaker-related bacteraemia with small colony variant Staphylococcus aureus in a haemodialysis patient
Autor: | Jørgen A. L. Kurtzhals, Jens Jørgen Christensen, Claus Moser, Kit Boye, Henrik Westh, Xiaohui Chen Nielsen, Finn Thomsen Nielsen, Ulla Johansen |
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Rok vydání: | 2009 |
Předmět: |
medicine.medical_specialty
medicine.drug_class business.industry medicine.medical_treatment Antibiotics General Medicine medicine.disease_cause Article Cardiac pacemaker Surgery Staphylococcus aureus Internal medicine medicine Species identification Biochemical reactions Chronic hemodialysis Typing methods business Staphylococcus |
Zdroj: | Case Reports. 2009:bcr0520091910-bcr0520091910 |
ISSN: | 1757-790X |
DOI: | 10.1136/bcr.05.2009.1910 |
Popis: | A patient with chronic haemodialysis with a cardiac pacemaker was admitted for five episodes of bacteraemia with Staphylococcus during an 8-month period. The species identification was complicated since the morphological characters and biochemical reactions were unusual and differing. Molecular biological identification and typing methods revealed that the pathogens for all the episodes were the same strain of Staphylococcus aureus that had small colony variant characteristics. Continuous suppressive antibiotic treatment initiated after the last infection episode has been able to keep the patient free of bacteraemia relapse during the past 24 months without removing the pacemaker. |
Databáze: | OpenAIRE |
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