title: Disseminated Mycobacterium chelonae infection causing pacemaker lead endocarditis in an immunocompetent host.
abstract: Pacemaker infection with Mycobacterium chelonae has not been reported previously. We report the first case of pacemaker lead endocarditis due to M. chelonae, which was successfully treated with multidrug regimen. M. chelonae is regarded as an environmental bacterium and its pathogenicity has been recognised recently. The present case illustrates its ability as a primary invader should not be underestimated, especially in an immunocompetent patient with indwelling devices. Epidemiology and management of this rare cause of culture-negative endocarditis is discussed.
authors.affiliation: Department of Cardiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Hooda
authors.affiliation: Department of Cardiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
authors.forename: Purinder K
authors.initials: PK
authors.lastname: Pati
authors.affiliation: Department of Cardiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
authors.forename: Bobby
authors.initials: B
authors.lastname: John
authors.affiliation: Department of Cardiology, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
authors.forename: Paul V
authors.initials: PV
authors.lastname: George
authors.affiliation: Department of Microbiology, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Joy Sarojini
authors.initials: JS
authors.lastname: Michael
mesh_terms: D004696:Endocarditis / Q000209:etiology / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000382:microbiology*; D016926:Mycobacterium chelonae; D010138:Pacemaker, Artificial / Q000382:microbiology*; D017192:Skin Diseases, Bacterial / Q000382:microbiology