Infect Chemother.  2006 Aug;38(4):214-218.

A Case of Actinobacillus actinomycetemcomitans Bacteremia Associated with Permanent Pacemaker Lead Infection

Affiliations
  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sangho@amc.seoul.kr

Abstract

A 73-year-old man was admitted for intermittent episodes of fever and chills for 3 months. He had been implanted with a permanent pacemaker to control tachy-bradycardia syndrome 7 months before admission. Blood cultures were positive for Actinobacillus actinomycetemcomitans and a 99mTc-hexamethylpropylene amine oxime (99mTc-HMPAO) WBC scan revealed inflammation on the pacemaker lead in extracardiac site. Oral examination revealed several dental caries. The patient was treated with intravenous ceftriaxone, followed by oral ciprofloxacin without removal of the infected pacemaker lead. He was doing well 10 months without febrile episodes after discontinuation of antibiotics. This report describes the first case of A. actinomycetemcomitans bacteremia associated with a pacemaker lead and localized by 99mTc-HMPAO WBC scan

Keyword

Pacemaker lead; Actinobacillus actinomycetemcomitans; 99mTc-HMPAO WBC scan

MeSH Terms

Actinobacillus*
Aged
Aggregatibacter actinomycetemcomitans*
Anti-Bacterial Agents
Bacteremia*
Ceftriaxone
Chills
Ciprofloxacin
Dental Caries
Diagnosis, Oral
Fever
Humans
Inflammation
Technetium Tc 99m Exametazime
Anti-Bacterial Agents
Ceftriaxone
Ciprofloxacin
Technetium Tc 99m Exametazime
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