Myocardial abscess and bacteremia complicating Mycobacterium fortuitum pacemaker infection: case report and review of the literature.
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.
Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar. hussamalsoub@yahoo.com
Hussam
H
Al Soub
Mona
M
Al Maslamani
Jameela
J
Al Khuwaiter
Yasser
Y
El Deeb
Mohammed
M
Abu Khattab
D000038:Abscess / Q000175:diagnosis / Q000382:microbiology*; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D009202:Cardiomyopathies / Q000175:diagnosis / Q000382:microbiology*; D005260:Female; D006801:Humans; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D019907:Mycobacterium fortuitum / Q000302:isolation & purification*; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013397:Sudan; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents