Implantable Cardiac Defibrillator-Related Culture-Negative Infection: A Case of Coxiella burnetii Infection
Why the study?
Coxiella burnetii is a common cause of culture-negative infective endocarditis, but only a few cases of cardiac implantable electronic device infection have been reported.
Population
A 54-year-old male with an ICD and culture-negative infection
Design
Case report
Authors
Discussion
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Member takes
Implication
Serology merits consideration for Coxiella in culture-negative CIED infections; this case leaves open optimal management strategies.
Structured PICO
P
Population
1 54-year-old male with an implantable cardiac defibrillator (ICD) presenting with prolonged fatigue, low-grade fever, weight loss, and a large echogenic mass on the ventricular pacing wire.
I
Intervention
Transvenous lead extraction and surgical replacement of the tricuspid valve
Coxiella burnetii is a rare but important cause of culture-negative CIED infections that can be diagnosed via serology and may require lead extraction and valve surgery.
Cite This Study
Papakonstantinou et al. (2023) studied this question.