Related Experiment Video
Updated: Jun 18, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
Automatic implantable cardioverter defibrillator pocket infection due to Providencia rettgeri: a case report
Jorge Manuel Marull1, Maria Elena De Benedetti
1Department of Internal Medicine, St Luke’s-Roosevelt Hospital Center-Columbia University College of Physicians and Surgeons, 1000 10th Avenue, New York, NY, 10019, USA. jmarull@chpnet.org
Abstract:
Coagulase-negative staphylococci and Staphylococcus aureus are the commonest pathogens involved in infections of pacemaker-defibrillator systems. Among causative Gram-negative bacteria, infections due to Klebsiella, Serratia, Pseudomonas, Acinetobacter and other species have been reported. We report herein a unique case of an automatic implantable cardioverter defibrillator infection due to Providencia rettgeri in a 65-year-old male who was admitted to our service with bacteremia and infection of the generator and subcutaneous array in a recently implanted device.
Insights
This study details a rare pacemaker infection caused by Providencia rettgeri bacteria. It highlights the importance of considering unusual pathogens in device-related infections.
Area of Science:
- Infectious Diseases
- Cardiology
- Medical Microbiology
Background:
- Pacemaker-defibrillator system infections are commonly caused by Staphylococcus species.
- Gram-negative bacterial infections, though less common, have been documented with various genera.
Observation:
- A unique case of an automatic implantable cardioverter defibrillator infection is presented.
- The patient was a 65-year-old male with bacteremia and device infection.
Findings:
- The causative pathogen was identified as Providencia rettgeri, a rare cause of device infection.
- This represents a unique instance of this specific bacterium infecting an implanted cardiac device.
Implications:
- Clinicians should consider a broader range of pathogens, including Providencia rettgeri, in device infections.
- This case expands the known spectrum of bacteria associated with cardiac implantable electronic device infections.
Related Concept Videos
Endocarditis I: Introduction
Endocarditis III: Medical Management
Endocarditis IV: Nursing Management
Endocarditis II: Clinical Features of Infective Endocarditis
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Cardiomyopathy V: Interprofessional Care