Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case

We report the case of a man affected by polymicrobial endocarditis developed on a St. Jude Medical Riata lead with a malfunction because of the outsourcing of conductors. The patient was treated with antibiotic targeted therapy and showed different bacteria at the blood cultures and then underwent t...

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Main Authors: Zefferino Palamà, Roberta Trotta, Cosimo Mandurino, Mariangela Pinto, Giovanni Luzzi, Stefano Favale
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2017/8967234
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author Zefferino Palamà
Roberta Trotta
Cosimo Mandurino
Mariangela Pinto
Giovanni Luzzi
Stefano Favale
author_facet Zefferino Palamà
Roberta Trotta
Cosimo Mandurino
Mariangela Pinto
Giovanni Luzzi
Stefano Favale
author_sort Zefferino Palamà
collection DOAJ
description We report the case of a man affected by polymicrobial endocarditis developed on a St. Jude Medical Riata lead with a malfunction because of the outsourcing of conductors. The patient was treated with antibiotic targeted therapy and showed different bacteria at the blood cultures and then underwent transvenous leads extraction. Vegetations were highlighted on the caval, atrial, and ventricular tracts of the Riata lead, but the cultures were all negative. The externalization of Riata lead may cause the malfunction but it could also promote bacterial colonies and vegetations. In conclusion, looking for early signs of infection is mandatory during Riata leads follow-up checks.
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institution Kabale University
issn 2090-6404
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publishDate 2017-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-1accabe9e5164eeda99421c7264aba702025-02-03T01:10:42ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/89672348967234Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical CaseZefferino Palamà0Roberta Trotta1Cosimo Mandurino2Mariangela Pinto3Giovanni Luzzi4Stefano Favale5Cardiology Unit, Cardiothoracic Department, University of Bari, Bari, ItalyCardiology Unit, Cardiothoracic Department, University of Bari, Bari, ItalyCardiology Unit, Cardiothoracic Department, University of Bari, Bari, ItalyCardiology Unit, Cardiothoracic Department, University of Bari, Bari, ItalyCardiology Unit, Cardiothoracic Department, University of Bari, Bari, ItalyCardiology Unit, Cardiothoracic Department, University of Bari, Bari, ItalyWe report the case of a man affected by polymicrobial endocarditis developed on a St. Jude Medical Riata lead with a malfunction because of the outsourcing of conductors. The patient was treated with antibiotic targeted therapy and showed different bacteria at the blood cultures and then underwent transvenous leads extraction. Vegetations were highlighted on the caval, atrial, and ventricular tracts of the Riata lead, but the cultures were all negative. The externalization of Riata lead may cause the malfunction but it could also promote bacterial colonies and vegetations. In conclusion, looking for early signs of infection is mandatory during Riata leads follow-up checks.http://dx.doi.org/10.1155/2017/8967234
spellingShingle Zefferino Palamà
Roberta Trotta
Cosimo Mandurino
Mariangela Pinto
Giovanni Luzzi
Stefano Favale
Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
Case Reports in Cardiology
title Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_full Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_fullStr Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_full_unstemmed Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_short Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case
title_sort could externalized st jude medical riata r lead be a culture medium of a polymicrobial endocarditis a clinical case
url http://dx.doi.org/10.1155/2017/8967234
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