Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case

We report the case of a man affected by polymicrobial endocarditis developed on a St. Jude Medical Riata lead with a malfunction because of the outsourcing of conductors. The patient was treated with antibiotic targeted therapy and showed different bacteria at the blood cultures and then underwent t...

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Detalles Bibliográficos
Autores principales: Palamà, Zefferino, Trotta, Roberta, Mandurino, Cosimo, Pinto, Mariangela, Luzzi, Giovanni, Favale, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5274697/
https://www.ncbi.nlm.nih.gov/pubmed/28191354
http://dx.doi.org/10.1155/2017/8967234
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author Palamà, Zefferino
Trotta, Roberta
Mandurino, Cosimo
Pinto, Mariangela
Luzzi, Giovanni
Favale, Stefano
author_facet Palamà, Zefferino
Trotta, Roberta
Mandurino, Cosimo
Pinto, Mariangela
Luzzi, Giovanni
Favale, Stefano
author_sort Palamà, Zefferino
collection PubMed
description We report the case of a man affected by polymicrobial endocarditis developed on a St. Jude Medical Riata lead with a malfunction because of the outsourcing of conductors. The patient was treated with antibiotic targeted therapy and showed different bacteria at the blood cultures and then underwent transvenous leads extraction. Vegetations were highlighted on the caval, atrial, and ventricular tracts of the Riata lead, but the cultures were all negative. The externalization of Riata lead may cause the malfunction but it could also promote bacterial colonies and vegetations. In conclusion, looking for early signs of infection is mandatory during Riata leads follow-up checks.
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spelling pubmed-52746972017-02-12 Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case Palamà, Zefferino Trotta, Roberta Mandurino, Cosimo Pinto, Mariangela Luzzi, Giovanni Favale, Stefano Case Rep Cardiol Case Report We report the case of a man affected by polymicrobial endocarditis developed on a St. Jude Medical Riata lead with a malfunction because of the outsourcing of conductors. The patient was treated with antibiotic targeted therapy and showed different bacteria at the blood cultures and then underwent transvenous leads extraction. Vegetations were highlighted on the caval, atrial, and ventricular tracts of the Riata lead, but the cultures were all negative. The externalization of Riata lead may cause the malfunction but it could also promote bacterial colonies and vegetations. In conclusion, looking for early signs of infection is mandatory during Riata leads follow-up checks. Hindawi Publishing Corporation 2017 2017-01-15 /pmc/articles/PMC5274697/ /pubmed/28191354 http://dx.doi.org/10.1155/2017/8967234 Text en Copyright © 2017 Zefferino Palamà et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Palamà, Zefferino
Trotta, Roberta
Mandurino, Cosimo
Pinto, Mariangela
Luzzi, Giovanni
Favale, Stefano
Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_full Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_fullStr Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_full_unstemmed Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_short Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_sort could externalized st. jude medical riata® lead be a culture medium of a polymicrobial endocarditis? a clinical case
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5274697/
https://www.ncbi.nlm.nih.gov/pubmed/28191354
http://dx.doi.org/10.1155/2017/8967234
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