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Volume 22, Number 3—March 2016
CME ACTIVITY - Synopsis

Patient Report and Review of Rapidly Growing Mycobacterial Infection after Cardiac Device Implantation

Varun K. PhadkeComments to Author , David S. Hirsh, and Neela D. Goswami
Author affiliations: Emory University, Atlanta, Georgia, USA

Main Article

Figure

Photographs of the cardiac implantable electronic device pocket site for a 60-year-old man in whom infection developed at the implantation site of a cardiac implantable electronic device, Atlanta, Georgia, USA. A) Device pocket site after explantation. The wound was closed with pledged Ethibond sutures (Ethicon, Somerville, NJ, USA), and a Jackson-Pratt drain (closed-suction drainage system consisting of an internal drain connected by plastic tubing to a flexible bulb) was tunneled into the infe

Figure. Photographs of the cardiac implantable electronic device pocket site for a 60-year-old man in whom infection developed at the implantation site of a cardiac implantable electronic device, Atlanta, Georgia, USA. A) Device pocket site after explantation. The wound was closed with pledged Ethibond sutures (Ethicon, Somerville, NJ, USA), and a Jackson-Pratt drain (closed-suction drainage system consisting of an internal drain connected by plastic tubing to a flexible bulb) was tunneled into the inferior aspect of the pocket. The drain was removed 24 hours postoperatively, and a small incision was left open to heal by secondary intention. B) Device pocket site 6 weeks after suture removal. Most of the incision healed well, with evidence of localized dehiscence (i.e., spontaneous partial separation of the surgical incision along the suture lines).

Main Article

Page created: February 16, 2016
Page updated: February 16, 2016
Page reviewed: February 16, 2016
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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