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Bacillus Cereus Endocarditis in a permanent pacemaker: a case report.

Abusin S, Bhimaraj A, Khadra S - Cases J (2008)

Bottom Line: We report a rare case of Bacillus Cereus infecting a permanent pacing wire.A 69 year old female with a permanent pacemaker presented with rigors, sweats and weight loss.She was treated with appropriate intravenous antibiotics for 6 weeks with a good clinical recovery at 6 months follow up.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, John H, Stroger Hospital of Cook County, Chicago, IL, 60612, USA. sayabusin@hotmail.com.

ABSTRACT

Introduction: Bacillus Cereus endocarditis is a rare condition which has been implicated in intravenous drug users, and in patients with prosthetic heart valves. We report a rare case of Bacillus Cereus infecting a permanent pacing wire.

Case presentation: A 69 year old female with a permanent pacemaker presented with rigors, sweats and weight loss. Blood cultures grew Bacillus Cereus; Transesophageal echocardiogram demonstrated a mobile lesion attached to the pacing wire. She was treated with appropriate intravenous antibiotics for 6 weeks with a good clinical recovery at 6 months follow up.

Conclusion: This case reminds the clinician to have a high index of suspicion for endocarditis in any patient with cardiac prosthesis and to pursue the blood culture results even for rare and unexpected organisms. It also suggests the possibility of a trial of antibiotic therapy prior to prosthesis removal in select patients who are not in heart failure and hemodynamically stable.

No MeSH data available.


Related in: MedlinePlus

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Figure 3: Labelled transthoracic image.

Mentions: Because the patient was clinically stable, we elected for a trial of intravenous antibiotic therapy prior to surgical removal of the pacemaker. The patient was treated with intravenous Cefazolin, to which the organism was sensitive, for six weeks. She was closely followed after discharge, and at six months follow-up the patient had made a good clinical recovery. A good quality follow-up transthoracic echocardiogram was performed and showed no evidence of vegetation (Figure 3).


Bacillus Cereus Endocarditis in a permanent pacemaker: a case report.

Abusin S, Bhimaraj A, Khadra S - Cases J (2008)

Labelled transthoracic image.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2526979&req=5

Figure 3: Labelled transthoracic image.
Mentions: Because the patient was clinically stable, we elected for a trial of intravenous antibiotic therapy prior to surgical removal of the pacemaker. The patient was treated with intravenous Cefazolin, to which the organism was sensitive, for six weeks. She was closely followed after discharge, and at six months follow-up the patient had made a good clinical recovery. A good quality follow-up transthoracic echocardiogram was performed and showed no evidence of vegetation (Figure 3).

Bottom Line: We report a rare case of Bacillus Cereus infecting a permanent pacing wire.A 69 year old female with a permanent pacemaker presented with rigors, sweats and weight loss.She was treated with appropriate intravenous antibiotics for 6 weeks with a good clinical recovery at 6 months follow up.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, John H, Stroger Hospital of Cook County, Chicago, IL, 60612, USA. sayabusin@hotmail.com.

ABSTRACT

Introduction: Bacillus Cereus endocarditis is a rare condition which has been implicated in intravenous drug users, and in patients with prosthetic heart valves. We report a rare case of Bacillus Cereus infecting a permanent pacing wire.

Case presentation: A 69 year old female with a permanent pacemaker presented with rigors, sweats and weight loss. Blood cultures grew Bacillus Cereus; Transesophageal echocardiogram demonstrated a mobile lesion attached to the pacing wire. She was treated with appropriate intravenous antibiotics for 6 weeks with a good clinical recovery at 6 months follow up.

Conclusion: This case reminds the clinician to have a high index of suspicion for endocarditis in any patient with cardiac prosthesis and to pursue the blood culture results even for rare and unexpected organisms. It also suggests the possibility of a trial of antibiotic therapy prior to prosthesis removal in select patients who are not in heart failure and hemodynamically stable.

No MeSH data available.


Related in: MedlinePlus