Conservative management of implantable cardioverter defibrillator-related endocarditis due to Bacillus spp.

A. Shalev, J. Gilad, K. Riesenberg, A. Borer, S. Kobal, F. Schlaeffer, A. Katz

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Endocarditis is a devastating complication of implantable cardioverter-defibrillator (ICD) therapy. Partial or complete device removal has been advocated for the treatment of this condition although controlled data are lacking. We present a case of ICD-related endocarditis caused by Bacillus spp. that occurred following coronary angiography. To the best of our knowledge, Bacillus spp. has not been previously described in such context. Moreover, conservative treatment with device retention was successful (no recurrence during a 6-year follow-up). Conservative management may be attempted in selected cases of ICD-related endocarditis, especially, those involving low-virulence organisms and rapid response to antibiotic therapy. This case also suggests that coronary angiography may be associated with transient bacteremia and subsequent infection of indwelling cardiac devices.

Original languageEnglish
Pages (from-to)114-117
Number of pages4
JournalInfection
Volume35
Issue number2
DOIs
StatePublished - 1 Apr 2007
Externally publishedYes

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