2024, Number 1
Cardiovasc Metab Sci 2024; 35 (1)
An unexpected germ: atypical presentation of Vagococcus fluvialis pocket infection in a cardiac pacing device
Marín-Velásquez, Jorge Eduardo; Velásquez, Juanita; Sotelo-Narváez, Jorge Enrique; Aristizábal-Aristizábal, Julián Miguel; Díaz-Martínez, Juan Carlos; Duque-Ramírez, Mauricio
ABSTRACT
Advances in cardiac implantable electronic devices (CIED) technology have enabled them to play a relevant role in heart disease. Although complications have decreased, CIED-related infection persists as one of the problems that has the greatest impact on the patient and the health system. Infections due to unusual germs generate additional morbidity and increased costs of care but can have a favorable course with early diagnosis and treatment. The case of a patient with clinical signs and symptoms of CIED pocket infection by Vagococcus fluvialis, without systemic infection or endocarditis, is presented for the first time in the literature. Timely treatment allowed a favorable evolution. New diagnostic and therapeutic challenges come from the hand of more complex patients.