MYOCARDIAL ABSCESS AND BACTEREMIA COMPLICATING MYCOBACTERIUM FORTUITUM PACEMAKER INFECTION CASE REPORT AND REVIEW OF THE LITERATURE

被引:17
作者
Al Soub, Hussam [1 ]
Al Maslamani, Mona [1 ]
Al Khuwaiter, Jameela [1 ]
El Deeb, Yasser [1 ]
Abu Khattab, Mohammed [1 ]
机构
[1] Hamad Med Corp, Dept Internal Med, Doha, Qatar
关键词
pacemaker; Mycobacterium fortuitum; nontuberculous mycobacteria; myocardial abscess; bacteremia; OUTBREAKS; COMPLEX;
D O I
10.1097/INF.0b013e3181aa6592
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
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.
引用
收藏
页码:1032 / 1034
页数:3
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