Cardiac device infection due to Streptococcus pneumoniae

Theresa T Liu1, Pablo B Nery, David Birnie

  • 1Division of Infectious Diseases, University of Ottawa/The Ottawa Hospital;

Insights

Cardiac device infections (CDIs) are usually from skin bacteria. This case highlights a rare Streptococcus pneumoniae CDI, which may be preventable with vaccines and can occur without obvious prior infection.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Microbiology

Background:

  • Cardiac device infections (CDIs) are known complications following implantation.
  • Most CDIs originate from skin flora, but hematogenous spread is also a cause.
  • Streptococcus pneumoniae is an uncommon pathogen in CDIs.

Observation:

  • A rare case of CDI caused by Streptococcus pneumoniae was identified.
  • The patient did not present with overt signs of pneumococcal infection.
  • This presentation is atypical for Streptococcus pneumoniae infections.

Findings:

  • Streptococcus pneumoniae can cause cardiac device infections.
  • CDIs by this pathogen may not be preceded by typical pneumococcal symptoms.
  • This specific CDI is potentially vaccine-preventable.

Implications:

  • Highlights the need to consider Streptococcus pneumoniae in CDI etiology, even without typical preceding symptoms.
  • Suggests potential for vaccine-preventable strategies in managing CDIs.
  • Broadens the understanding of pathogens involved in cardiac device infections.

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