Pacemaker Infection Caused by <I>Staphylococcus schleiferi</I>

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  • MITSUTAKE Kotaro
    Department of Clinical and Laboratory Medicine, National Cardiovascular Center
  • URA Toshiro
    Department of Clinical and Laboratory Medicine, National Cardiovascular Center
  • SAWAI Toyomitsu
    Department of Clinical and Laboratory Medicine, National Cardiovascular Center
  • KATAYAMA Yoshiaki
    Department of Clinical and Laboratory Medicine, National Cardiovascular Center
  • MIYATAKE Kunio
    Department of Cardiology, National Cardiovascular Center

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Other Title
  • <I>Staphylococcus schleiferi</I>によるペースメーカー感染の1例
  • Pacemaker Infection Caused by Staphylococcus schleiferi

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Description

Pacemaker infection is one of the severe complication of pacemaker inplantation. We report a case of pacemaker infection caused by Staphylococcuschleiferi which is a coagulase-negative staphylococcus, and its relation with human infection is not well characterized.<BR>In 1994, a 80-year-old male presented with a pacemaker pocket infection, cutaneous inflammation but no fever 2 months after insertion of a pacemaker. S. schleiferi was isolated from the pus. The patient was given cefazolin for 5 days. One month later he was readmitted because of cutaneous inflammation and the extruted generator was removed. S. schleiferi was isolated from the generator. After the patient was treated with cefazolin for 3 weeks, four consecutive wound cultures were all negative. A new generator was inserted on the same side. One month after re-insertion, the patient again presented a cutaneous inflammation, and S. schleiferi was isolated from the pus as well as the generator and the leads on their removal. Twenty six days later, a new pacing system was inserted on the other side. There was no further recurrence of the infection. Removal of the entire pacing system was necessary to cure the infecion. We expect further information of human infections caused by S. schleiferi.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 74 (11), 980-983, 2000

    The Japanese Association for Infectious Diseases

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