MYOCARDIAL ABSCESS AND BACTEREMIA COMPLICATING MYCOBACTERIUM FORTUITUM PACEMAKER INFECTION
- 1 November 2009
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in The Pediatric Infectious Disease Journal
- Vol. 28 (11), 1032-1034
- https://doi.org/10.1097/inf.0b013e3181aa6592
Abstract
A case of pacemaker infection complicated by bacteremia and myocardial abscess caused by Mycobacterium fortuitum is reported and 9 other cases of pacemaker infection associated with rapidly growing mycobacteria are reviewed. Most cases developed within 6 months from implantation suggesting nosocomial acquisition. Wound discharge, fever, and pain at generator site were the most common presenting features. At presentation they had a median duration of symptoms of 34 days. Concomitant bacteremia was present in half of the cases. Antibiotics therapy and removal of the pacemaker system were needed to achieve cure in the majority of cases. Clarithromycin and fluoroquinolones were the most commonly used antibiotics.Keywords
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