Patient Report and Review of Rapidly Growing Mycobacterial Infection after Cardiac Device Implantation.

Abstract:

:Mycobacterial infections resulting from cardiac implantable electronic devices are rare, but as more devices are implanted, these organisms are increasingly emerging as causes of early-onset infections. We report a patient with an implantable cardioverter-defibrillator pocket and associated bloodstream infection caused by an organism of the Mycobacterium fortuitum group, and we review the literature regarding mycobacterial infections resulting from cardiac device implantations. Thirty-two such infections have been previously described; most (70%) were caused by rapidly growing species, of which M. fortuitum group species were predominant.When managing such infections, clinicians should consider the potential need for extended incubation of routine cultures or dedicated mycobacterial cultures for accurate diagnosis; combination antimicrobial drug therapy, even for isolates that appear to be macrolide susceptible, because of the potential for inducible resistance to this drug class; and the arrhythmogenicity of the antimicrobial drugs traditionally recommended for infections caused by these organisms.

journal_name

Emerg Infect Dis

authors

Phadke VK,Hirsh DS,Goswami ND

doi

10.3201/eid2203.150584

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

389-95

issue

3

eissn

1080-6040

issn

1080-6059

journal_volume

22

pub_type

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