Mycobacterium chelonae, an 'atypical' cause of an LVAD driveline infection

Int J Infect Dis. 2020 Mar:92:127-129. doi: 10.1016/j.ijid.2020.01.002. Epub 2020 Jan 8.

Abstract

We describe the first patient with a left ventricular assist device (LVAD) driveline infection caused by Mycobacterium chelonae presenting with persistent infection despite conventional antibiotics. Treatment was successful with surgical debridement, driveline exit relocation, and a 4-month period of antibiotics. In the case of a culture-negative LVAD driveline infection, non-tuberculous mycobacteria should be considered. This case illustrates that multidisciplinary collaboration is essential in providing optimal care for LVAD patients.

Keywords: Driveline infection; Left ventricular assist device; Mycobacterium chelonae.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Debridement
  • Heart-Assist Devices / adverse effects*
  • Humans
  • Male
  • Middle Aged
  • Mycobacterium Infections, Nontuberculous / etiology*
  • Mycobacterium Infections, Nontuberculous / therapy
  • Mycobacterium chelonae*

Substances

  • Anti-Bacterial Agents