Dhand Abhay, Ross John J
Division of Geographic Medicine and Infectious Diseases, Tufts-New England Medical Center, Boston, Massachusetts.
Clin Infect Dis. 2007 Feb 15;44(4):e37-9. doi: 10.1086/511079. Epub 2007 Jan 5.
We report a case of implantable cardioverter-defibrillator infection due to Brucella melitensis and review 5 previously reported cases of Brucella infection of cardiac devices. Device removal, followed by antibiotic therapy for 6 weeks, is probably required for cure. Although rare, reports of Brucella infection of prosthetic implants and devices have increased in the past decade. Brucellosis should be considered in the differential diagnosis of cardiac device infection in patients residing in or traveling to areas of endemicity.
我们报告了一例因羊布鲁氏菌导致的植入式心脏复律除颤器感染病例,并回顾了先前报道的5例心脏装置布鲁氏菌感染病例。治愈可能需要移除装置,随后进行6周的抗生素治疗。尽管罕见,但在过去十年中,关于布鲁氏菌感染人工植入物和装置的报告有所增加。对于居住在或前往布鲁氏菌病流行地区的患者,在心脏装置感染的鉴别诊断中应考虑布鲁氏菌病。