Invasive Listeriosis of Intracardiac Device

Case Reports in Medicine
Prerna Sharma, Mohamed Yassin

Abstract

Listeria monocytogenes is a food-borne pathogen which can cause invasive infection in immunocompromised adults. Listeria has been known to cause infections during pregnancy and in older adults. Listeria endocarditis is a rare condition. A case of listeria-related intracardiac device infection is reported below. A 74-year-old male with a past medical history of coronary artery disease, congestive cardiac failure, permanent atrial fibrillation status after nodal ablation, and placement of a biventricular pacemaker presented to the hospital with complaints of generalized fatigue. He was found to have listeria bacteremia, and transthoracic echocardiogram (TTE) showed pacemaker lead vegetation. The patient was treated with 6 weeks of vancomycin followed by oral suppression with amoxicillin. Listeria can affect native valves, prosthetic valves, or nonvalvular intracardiac devices. The mean age of prosthetic valve endocarditis has been reported to be 67 years with male-to-female ratio 1.7 : 1 and mitral-to-aortic valve ratio 1.3 : 1. There have been case reports of listeria prosthetic valve endocarditis; however, there is paucity of literature on listeria-related pacemaker lead infection. Treatment is mostly a combination of penicilli...Continue Reading

References

Oct 22, 2003·Circulation·Larry M BaddourUNKNOWN AHA
Jan 21, 2004·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Manuel L Fernández GuerreroJorge Martinell
Sep 30, 2006·International Journal of Antimicrobial Agents·Patricia MuñozUNKNOWN GAME Study Group
Jan 5, 2011·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Sun-Lin HuangCheng-Hsun Chiu
Jul 1, 2010·The Canadian Journal of Hospital Pharmacy·Claudia Summa, Sandra A N Walker
May 14, 2014·BioMed Research International·Almudena Hernandez-Milian, Antoni Payeras-Cifre
Sep 17, 2015·Circulation·Larry M BaddourUNKNOWN American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular

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Citations

Jul 3, 2020·Journal of Pharmacy Practice·Janice L Stumpf, Lauren D Williams

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Methods Mentioned

BETA
X-ray
PCR

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