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Case Reports
. 2014 Dec 22:2014:bcr2014206042.
doi: 10.1136/bcr-2014-206042.

Disseminated Mycobacterium chelonae infection causing pacemaker lead endocarditis in an immunocompetent host

Amit Hooda  1 , Purinder K Pati  1 , Bobby John  1 , Paul V George  1 , Joy Sarojini Michael  2
Affiliations
Case Reports

Disseminated Mycobacterium chelonae infection causing pacemaker lead endocarditis in an immunocompetent host

Amit Hooda et al. BMJ Case Rep. .

Abstract

Pacemaker infection with Mycobacterium chelonae has not been reported previously. We report the first case of pacemaker lead endocarditis due to M. chelonae, which was successfully treated with multidrug regimen. M. chelonae is regarded as an environmental bacterium and its pathogenicity has been recognised recently. The present case illustrates its ability as a primary invader should not be underestimated, especially in an immunocompetent patient with indwelling devices. Epidemiology and management of this rare cause of culture-negative endocarditis is discussed.

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Figures

Figure 1
Figure 1
Two-dimensional transoesophageal echocardiography showing 12×14 mm vegetation attached to the right ventricular (RV) lead.
See this image and copyright information in PMC

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