Article Text

Download PDFPDF
CASE REPORT
Rare case of implantable cardioverter defibrillator infection caused by Stenotrophomonas maltophilia and Pantoea calida
  1. Mustafa Ajam1,
  2. Mohamed Shokr2,
  3. Firas Ajam3 and
  4. Randy Lieberman2
  1. 1 Internal Medicine, Detroit Medical Center, Detroit, Michigan, USA
  2. 2 Cardiology, DMC/Wayne State University, Detroit, Michigan, USA
  3. 3 Internal Medicine, Jersey Shore University Medical Center, Neptune City, New Jersey, USA
  1. Correspondence to Dr Mustafa Ajam, m_ijam{at}yahoo.com

Abstract

Despite the numerous advancements in cardiac implantable electronic defibrillator (CIED) designs and implantation techniques, device-related infections continue to represent significant morbidity and mortality. Although Gram-positive bacteria remain the most commonly reported organisms, various other bacterial families have been reported. We describe a 61-year-old patient with a history of non-ischaemic cardiomyopathy who presented with implantable cardioverter defibrillator pocket infection due to Stenotrophomonas maltophilia and Pantoea calida that developed a few days following the device generator replacement. Early device explantation, tissue sampling and initiation of sensitivity-directed antibiotics are necessary steps for early diagnosis and management of such CIED-related infections. S. maltophilia and P. calida should be added to the expanding list of the causative organisms behind CIED-related infections. Our case and available literature demonstrated excellent sensitivity of these two organisms to sulfamethoxazole-trimethoprim treatment.

  • infectious diseases
  • pacing and electrophysiology
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors MA, MS, FA: drafting the manuscript. MA, MS, FA: revision. RL: revision and final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.