ArticleJACC. Case reports2025
FDG PET/CT-Guided Extraction of Infected Implantable Cardioverter-Defibrillator Causing Recurrent Stenotrophomonas Maltophilia Bacteremia.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundGram-negative bacteremia rarely cause cardiac implantable electronic device infections (CIEDIs), thus challenging prompt diagnosis and device extraction. CASE SUMMARY: A 57-year-old man with end-stage renal disease and an implantable cardioverter-defibrillator (ICD) for secondary prevention developed persistent Stenotrophomonas maltophilia bacteremia despite intravenous antibiotics and elimination of alternative infection sources. He had no pocket infection or echocardiographic evidence of endocarditis. Serial fluorine-18 fluorodeoxyglucose positron emission tomography combined with-computed tomography ( DISCUSSION: S. maltophilia is an emerging gram-negative organism that can cause CIEDI. TAKE-HOME MESSAGE: Maintain suspicion for cardiac device involvement in S. maltophilia bacteremia and use FDG PET CT when CIEDI is unclear.
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