1887

Abstract

Infection of cardiac implantable electronic devices is a severe condition associated with high mortality, particularly in patients who are dependent upon heart-pacing devices. are found in 70 % of reported cases.

We report the case of a cardiac-pacemaker infection in a 79-year-old man, cumulating a history of rheumatoid arthritis treated by corticosteroids and methotrexate by a recently identified micro-organism: . He presented local signs of infection on his VVI pacemaker implantation site and underwent urgent pocket device replacement under cefamandole antibioprophylaxis. On incision thick pus oozed out. It was necessary to perform a complete hardware extraction comprising the pulse generator and the ancient lead. Pus was inoculated into aerobic and anaerobic culture vials and Gram staining unveiled Gram-negative rods. Microbiology analysis identified the organism as A new pacing device was inserted on the contrlateral pectoral region. Ciprofloxacin enabled full recovery. A literature review concerning this pathogen revealed that it is involved in severe infections such as bloodstream infections, peritonitis, cellulitis, pneumonia and lung abscesses, and urinary tract infections. In these case reports, underlying co-morbidities were identified such as solid active neoplasia, recent chemotherapy, corticosteroids, solid-organ-recipient patients and recent open surgery.

is a serious emerging pathogen and contributes to the burden of various infectious conditions. Its pathogenicity and occurrence should be known by clinicians and a high level of awareness is necessary to precisely identify it provide the correct antibiotic regimen.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.005080
2017-02-28
2024-03-29
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/4/2/jmmcr005080.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.005080&mimeType=html&fmt=ahah

References

  1. Villamil M, Rodriguez FM, Van den Eynde CA, José V, Canedo RC. Permanent transvenous pacemaker infections: an analysis of 59 cases. Eur J Intern Med 2007; 18:484–488 [View Article][PubMed]
    [Google Scholar]
  2. Bongiorni MG, Tascini C, Tagliaferri E, Di Cori A, Soldati E et al. Microbiology of cardiac implantable electronic device infections. Europace 2012; 14:1334–1339 [View Article][PubMed]
    [Google Scholar]
  3. Tarakji KG, Chan EJ, Cantillon DJ, Doonan AL, Hu T et al. Cardiac implantable electronic device infections: presentation, management, and patient outcomes. Heart Rhythm 2010; 7:1043–1047 [View Article][PubMed]
    [Google Scholar]
  4. Archer GL, Climo MW. Antimicrobial susceptibility of coagulase-negative staphylococci. Antimicrob Agents Chemother 1994; 38:2231–2237 [View Article][PubMed]
    [Google Scholar]
  5. Abraham J, Mansour C, Veledar E, Khan B, Lerakis S. Staphylococcus aureus bacteremia and endocarditis: the Grady Memorial Hospital experience with methicillin-sensitive S aureus and methicillin-resistant S aureus bacteremia. Am Heart J 2004; 147:536–539 [View Article][PubMed]
    [Google Scholar]
  6. Sohail MR, Uslan DZ, Khan AH, Friedman PA, Hayes DL et al. Management and outcome of permanent pacemaker and implantable cardioverter-defibrillator infections. J Am Coll Cardiol 2007; 49:1851–1859 [View Article][PubMed]
    [Google Scholar]
  7. Puerta-Fernandez S, Miralles-Linares F, Sanchez-Simonet MV, Bernal-Lopez MR, Gomez-Huelgas R. Raoultella planticola bacteraemia secondary to gastroenteritis. Clin Microbiol Infect 2013; 19:E236E237 [View Article]
    [Google Scholar]
  8. Freney J, Gavini F, Alexandre H, Madier S, Izard D et al. Nosocomial infection and colonization by Klebsiella trevisanii . J Clin Microbiol 1986; 23:948–950[PubMed]
    [Google Scholar]
  9. Alves MS, Riley LW, Moreira BM. A case of severe pancreatitis complicated by Raoultella planticola infection. J Med Microbiol 2007; 56:696–698 [View Article][PubMed]
    [Google Scholar]
  10. Yokota K, Gomi H, Miura Y, Sugano K, Morisawa Y. Cholangitis with septic shock caused by Raoultella planticola . J Med Microbiol 2012; 61:446–449 [View Article][PubMed]
    [Google Scholar]
  11. O′connell K, Kelly J, Niriain U. A rare case of soft-tissue infection caused by Raoultella planticola . Case Report Med 2010; 2010:134086
    [Google Scholar]
  12. Koukoulaki M, Bakalis A, Kalatzis V, Belesiotou E, Papastamopoulos V et al. Acute prostatitis caused by Raoultella planticola in a renal transplant recipient: a novel case. Transpl Infect Dis 2014; 16:461–464 [View Article][PubMed]
    [Google Scholar]
  13. Drancourt M, Bollet C, Carta A, Rousselier P. Phylogenetic analyses of Klebsiella species delineate Klebsiella and Raoultella gen. nov., with description of Raoultella ornithinolytica comb. nov., Raoultella terrigena comb. nov. and Raoultella planticola comb. nov. Int J Syst Evol Microbiol 2001; 51:925–932 [View Article][PubMed]
    [Google Scholar]
  14. Hansen DS, Aucken HM, Abiola T, Podschun R. Recommended test panel for differentiation of Klebsiella species on the basis of a trilateral interlaboratory evaluation of 18 biochemical tests. J Clin Microbiol 2004; 42:3665–3669 [View Article][PubMed]
    [Google Scholar]
  15. Sohail MR, Uslan DZ, Khan AH, Friedman PA, Hayes DL et al. Risk factor analysis of permanent pacemaker infection. Clin Infect Dis 2007; 45:166–173 [View Article][PubMed]
    [Google Scholar]
  16. Bloom H, Heeke B, Leon A, Mera F, Delurgio D et al. Renal insufficiency and the risk of infection from pacemaker or defibrillator surgery. Pacing Clin Electrophysiol 2006; 29:142–145 [View Article][PubMed]
    [Google Scholar]
  17. Lekkerkerker JC, van Nieuwkoop C, Trines SA, van der Bom JG, Bernards A et al. Risk factors and time delay associated with cardiac device infections: Leiden device registry. Heart 2009; 95:715–720 [View Article][PubMed]
    [Google Scholar]
  18. Bonnet R, Bru JP, Caron F, Cattoir V, Chardon H et al. Comité de l’Antibiogramme de la Société Française de Microbiologie Recommandations 2015 Paris: Société Française de Microbiologie; 2015
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.005080
Loading
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error