Cardiac implantable electronic device-related infection is clinically challenging. Curative treatment commonly includes system removal. A case caused by Granulicatella adiacens occurred in a 32-year-old woman. Clinical course, literature review, and biofilm investigations enabled successful antibiotic management without system removal.
Keywords: Granulicatella adiacens; biofilm infection; cardiac device-related infection; endocarditis; nutritionally variant streptococci.