Orellana-Barrios Menfil, Sotello Aviles David A, Oyenuga Olusegun, Nugent Kenneth
Department of Cardiology, TTUHSC, Lubbock, Texas, USA.
Department of Infectious Diseases, Mayo Clinic, Jacksonville, Florida, USA.
BMJ Case Rep. 2017 Sep 19;2017:bcr-2017-221934. doi: 10.1136/bcr-2017-221934.
Infection is a clinically relevant complication associated with intracardiac devices. Atypical mycobacteria, particularly have been increasingly implicated in cardiovascular implantable electronic device (CIED) infections. We present a case of CIED infection in a patient with ischaemic cardiomyopathy occurring approximately 3 weeks after insertion. The recognition and adequate treatment, including device removal, tissue sampling and the determination of antimicrobial sensitivities, are essential in the proper management of these patients.
感染是与心内装置相关的具有临床意义的并发症。非典型分枝杆菌,尤其是[此处原文缺失具体内容],越来越多地与心血管植入式电子装置(CIED)感染有关。我们报告一例缺血性心肌病患者在植入CIED约3周后发生感染的病例。对这些患者进行恰当管理时,识别并进行充分治疗,包括移除装置、组织取样及确定抗菌药物敏感性至关重要。