Klebsiella sp. carbapenem-resistant pocket infection of an Implantable Cardioverter Defibrillator (ICD)
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2021.174731Keywords:
Defibrillators implantable, Carbapenem-resistant enterobacteriaceae, Klebsiella infectionsAbstract
Infections associated with Implantable Electronic Cardiac Devices (IECD) have an incidence of up to 3.4% and a notable impact on patient morbidity and mortality. Gram-positive bacteria, especially Staphylococcus sp. represent 60-70% of isolated agents. In turn, gram-negatives account for up to 9% of cases. We report an Implantable Cardioverter-Defibrillator (ICD) generator pocket infection by a Carbapenem Resistant Klebsiella sp., in a young male patient, whose challenging diagnosis of certainty was only possible after surgical exploration and culture of the material from the ICD pocket, given the oligosymptomatic clinical presentation. Although already described, Klebsiella sp. are rare in this context and to our knowledge, this is the first report of an IECD infection by a carbapenem-resistant enterobacterium.
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Copyright (c) 2021 Gustavo Aliano Gâmbaro, Rebecca Amaral Pires Moura, Gustavo Galli Reis, Fabrício Nogueira Furtado
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