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A Unique Case of Elizabethkingia Associated Cardiac Device Infection
Yingyot Arora1, Lorenzo D'Angelo-Piaggio2, Noah Llaneras3
1School of Medicine, University of Miami Miller School of Medicine, Miami, USA.
Cureus
|January 6, 2022
Summary
Elizabethkingia bacteria can cause serious infections in critically ill patients, especially those with cardiac devices. Managing device leads is crucial for preventing and treating such nosocomial infections.
Area of Science:
- Infectious Diseases
- Cardiology
- Critical Care Medicine
Background:
- Elizabethkingia, a gram-negative aerobic bacillus, is an emerging cause of nosocomial infections.
- Critically ill patients, particularly those with cardiac implantable electronic devices (CIEDs), are at risk.
Observation:
- A patient developed Elizabethkingia bacteremia following complicated surgery and an extended intensive care unit (ICU) stay.
- The patient underwent pacemaker extraction with laser lead extraction and antibiotic treatment.
Findings:
- This case highlights Elizabethkingia as a potential pathogen in patients with CIEDs.
- Successful treatment involved lead extraction and intravenous antibiotics.
Implications:
- Emphasizes the need for careful lead management strategies in patients with CIEDs who develop sepsis.
- Suggests vigilance for Elizabethkingia in ICU patients with CIEDs and complex surgical histories.
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