TY - JOUR AU - Phadke, Varun AU - Hirsh, David AU - Goswami, Neela T1 - Patient Report and Review of Rapidly Growing Mycobacterial Infection after Cardiac Device Implantation T2 - Emerging Infectious Disease journal PY - 2016 VL - 22 IS - 3 SP - 389 SN - 1080-6059 AB - Mycobacterial infections resulting from cardiac implantable electronic devices are rare, but as more devices are implanted, these organisms are increasingly emerging as causes of early-onset infections. We report a patient with an implantable cardioverter-defibrillator pocket and associated bloodstream infection caused by an organism of the Mycobacterium fortuitum group, and we review the literature regarding mycobacterial infections resulting from cardiac device implantations. Thirty-two such infections have been previously described; most (70%) were caused by rapidly growing species, of which M. fortuitum group species were predominant. When managing such infections, clinicians should consider the potential need for extended incubation of routine cultures or dedicated mycobacterial cultures for accurate diagnosis; combination antimicrobial drug therapy, even for isolates that appear to be macrolide susceptible, because of the potential for inducible resistance to this drug class; and the arrhythmogenicity of the antimicrobial drugs traditionally recommended for infections caused by these organisms. KW - Implantable cardioverter-defibrillator KW - cardiac pacemaker KW - nontuberculous mycobacteria KW - rapidly growing mycobacteria KW - Mycobacterium fortuitum group KW - bacteria KW - tuberculosis and other mycobacteria KW - bloodstream infections DO - 10.3201/eid2203.150584 UR - https://wwwnc.cdc.gov/eid/article/22/3/15-0584_article ER - End of Reference