A patient with relapsing pacemaker infection due to "Gram-positive bacilli".
Mycobacterium fortuitum infection of pacemaker system is rarely encountered in clinical practice. We reported a case of relapsing M. fortuitum infection of pacemaker system associated with endocarditis which had been erroneously diagnosed to be Gram-positive bacilli. The diagnosis was finally confirmed by detail histological and microbiological examination. This case clearly demonstrated that incomplete removal of pacemaker system resulted in relapsing infection despite appropriate antibiotic therapy.
Siu
Chung-Wah
CW
Cheng
Lik-Cheung
LC
Woo
Patrick C Y
PC
Lau
Chu-Pak
CP
Tse
Hung-Fat
HF
D000368:Aged; D003951:Diagnostic Errors; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis; D006801:Humans; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000209:etiology*; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D012008:Recurrence