Open AccessMYOCARDIAL ABSCESS AND BACTEREMIA COMPLICATING MYCOBACTERIUM FORTUITUM PACEMAKER INFECTION
Author(s) -
Hussam Al Soub,
Mona Al Maslamani,
Jameela Al Khuwaiter,
Yasser El Deeb,
Mohammed Abu Khattab
Publication year - 2009
Publication title -
the pediatric infectious disease journal/the pediatric infectious disease journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.028
H-Index - 140
eISSN - 1532-0987
pISSN - 0891-3668
DOI - 10.1097/inf.0b013e3181aa6592
Subject(s) - medicine , mycobacterium fortuitum , bacteremia , clarithromycin , antibiotics , abscess , surgery , concomitant , complication , brain abscess , mycobacterium , microbiology and biotechnology , pathology , tuberculosis , biology , helicobacter pylori
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.