Case report reveals successful heart transplantation after LVAD infection in a male patient, suggesting new treatment pathways.
We report a rare case of LVAD infection caused by Coxiella burnetii in a 43-year-old male. The infection was diagnosed after CT-guided abscess sampling, FISHseq analysis, and serology. Conservative therapy with doxycycline and hydroxychloroquine proved unsuccessful. After LVAD removal and heart transplantation, the patient has remained infection-free for three years under antibiotic suppression.
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Cholevas et al. (2026) studied this question.
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