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Corynebacterium jeikeium pacemaker infection associated with antineutrophil cytoplasmic antibodies: A single positive blood culture could be sufficient for diagnosis

Journal of Medical Microbiology, ISSN: 0022-2615, Vol: 60, Issue: 2, Page: 249-251
2011
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Corynebacterium jeikeium, a member of the non-diphtheria corynebacteria, has been rarely reported as being responsible for cardiovascular-device infection. Here, we report what is believed to be the first case of C. jeikeium pacemaker infection associated with the presence of proteinase-3 antineutrophil cytoplasmic antibodies. The diagnosis was established based on the positivity of a single positive blood culture and led to pacemaker extraction. This observation highlights the difficulty in the diagnosis of cardiac-device infection in the presence of a single positive blood culture with a fastidious microorganism that could be considered as a contaminant. It also underscores the need for device extraction to ensure healing. © 2011 SGM.

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