Clostridioides (Clostridium) difficile Pacemaker Infection
Author(s) -
Anna Berkefeld,
Fabian K. Berger,
Barbara C. Gärtner,
Nina Wantia,
Anatol Prinzing,
KarlLudwig Laugwitz,
Dirk H. Busch,
Kathrin Rothe
Publication year - 2020
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofaa487
Subject(s) - medicine , clostridium difficile , clostridioides , diarrhea , vancomycin , genotyping , bacteremia , asymptomatic , metronidazole , antibiotics , intensive care medicine , microbiology and biotechnology , genotype , bacteria , biochemistry , chemistry , genetics , gene , biology , staphylococcus aureus
Clostridioides difficile is the leading cause of antibiotic-associated nosocomial diarrhea, but extra-intestinal manifestations are rare. We describe the first documented case of bacteraemia with pacemaker pocket and lead infection with the toxigenic C. difficile ribotype 014 with a lack of abdominal symptoms. The patient underwent pacemaker extraction and treatment with intravenous and oral vancomycin. Genotyping and molecular subtyping revealed clonality between pacemaker and intestinal isolates. This case illustrates the risk of intravascular device infections due to C. difficile. Even asymptomatic C. difficile colonization might pose a risk for prosthetic material infection.
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