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Pacemaker Infection with Mycobacterium Avium Complex
Author(s) -
AMIN MAHESH,
GROSS JAY,
ANDREWS CAROLYN,
FURMAN SEYMOUR
Publication year - 1991
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1991.tb05083.x
Subject(s) - medicine , mycobacterium avium complex , mycobacterium , mycobacterium infections , microbiology and biotechnology , intensive care medicine , immunology , pathology , tuberculosis , biology
A 21 ‐year‐old, HIV negative, malnourished, homeless woman with congenital heart block had a pacemaker implanted at 7 years of age and multiple procedures thereafter. The most recent of these procedures was replacement of a pulse generator in the right pectoral region. Four months later she had fever, pain, and swelling over the implant site resulting from infection with mixed flora and Mycobacterium avium complex. The pacemaker system was removed fay thoracotomy via a median sternotomy and a new DDD pacemaker simultaneously implanted. She was treated with systemic antibiotics—isoniazid, rifampin, ethambutol—for 2 weeks. Six months later she was healthy, pacing well, and apparently free of infection, off all medications.