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Successful Management of an Infected Implantable Cardioverter Defibrillator with Oral Antibiotics and without Removal of the Device
Author(s) -
TURKISHER VLADIMIR,
PRIEL ISRAEL,
DAN MICHAEL
Publication year - 1997
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.1540-8159.1997.tb04247.x
Subject(s) - medicine , implantable cardioverter defibrillator , cloxacillin , fusidic acid , antibiotics , surgery , staphylococcus aureus , microbiology and biotechnology , penicillin , genetics , bacteria , biology
Infection of an implantable cardioverter defibrillator developed 2 weeks after implantation, presenting with fever, swelling, redness, and tenderness of the skin above the generator site. A cloxacillin resistant coagulase‐negative staphylococcus was repeatedly cultured from the abdominal wall pocket fluid. The infection was successfully treated with a combination of two antibiotics, fusidic acid and rifampin, given orally for 3 months. Although the device was not removed, infection did not recur during a 24‐month follow‐up.