TY - JOUR
T1 - Management of recurrent pacemaker-related bacteraemia with small colony variant Staphylococcus aureus in a haemodialysis patient
AU - Nielsen, Xiaohui Chen
AU - Nielsen, Finn Thomsen
AU - Kurtzhals, Jørgen A L
AU - Moser, Claus
AU - Boye, Kit
AU - Christensen, Jens Jørgen
AU - Johansen, Ulla Rydal
AU - Westh, Henrik
PY - 2009
Y1 - 2009
N2 - A patient with chronic haemodialysis with a cardiac pacemaker was admitted for five episodes of bacteraemia with Staphylococcus during an 8-month period. The species identification was complicated since the morphological characters and biochemical reactions were unusual and differing. Molecular biological identification and typing methods revealed that the pathogens for all the episodes were the same strain of Staphylococcus aureus that had small colony variant characteristics. Continuous suppressive antibiotic treatment initiated after the last infection episode has been able to keep the patient free of bacteraemia relapse during the past 24 months without removing the pacemaker.
AB - A patient with chronic haemodialysis with a cardiac pacemaker was admitted for five episodes of bacteraemia with Staphylococcus during an 8-month period. The species identification was complicated since the morphological characters and biochemical reactions were unusual and differing. Molecular biological identification and typing methods revealed that the pathogens for all the episodes were the same strain of Staphylococcus aureus that had small colony variant characteristics. Continuous suppressive antibiotic treatment initiated after the last infection episode has been able to keep the patient free of bacteraemia relapse during the past 24 months without removing the pacemaker.
U2 - 10.1136/bcr.05.2009.1910
DO - 10.1136/bcr.05.2009.1910
M3 - Journal article
C2 - 21857872
SN - 1757-790X
VL - 2009
JO - BMJ Case Reports
JF - BMJ Case Reports
ER -