Intravenous vegetation of methicillin-resistant Staphylococcus aureus induced by central venous catheter in a patient with implantable cardioverter-defibrillator: A case report

Kunihiro Matsushita, Naoya Tsuboi, Mamoru Nanasato, Mikito Takefuji, Natsuo Inoue, Taro Okada, Yukihiko Yoshida, Kazuo Hasegawa, Satoru Miwata, Haruo Hirayama, Teruo Ito, Wataru Kato, Kazuyoshi Tajima

Research output: Contribution to journalArticle

Abstract

A 54-year-old woman with an implantable cardioverter-defibrillator was admitted because of convulsion. Previously, she had suffered methicillin-resistant Staphylococcus aureus (MRSA) sepsis induced by a central venous catheter. Despite removal of the central venous catheter and administration of vancomycin, fever and increased C-reactive protein level persisted. MRSA had probably infected the implantable cardioverter-defibrillator system. Gallium scintigraphy showed accumulation at the right subclaviculan area, although local inflammatory signs were absent. Intravascular ultrasonography demonstrated intravenous vegetation at the bifurcation of the right subclavian vein and right internal jugular vein. Antibiotic therapy was not curative, so she underwent extirpation of the intravenous vegetation, which cured the systemic inflammation. Intravascular ultrasonography was useful to differentiate central venous catheter-related infection from implantable cardioverter defibrillator-related infection.

Original languageEnglish (US)
Pages (from-to)31-35
Number of pages5
JournalJournal of Cardiology
Volume40
Issue number1
StatePublished - Jul 1 2002
Externally publishedYes

Keywords

  • Complications (intravenous vegetation)
  • Defibrillator, implantable
  • Infectious disease (methicillin-resistant Staphylococcus aureus, central venous catheter-related infection)
  • Intravascular ultrasound

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Matsushita, K., Tsuboi, N., Nanasato, M., Takefuji, M., Inoue, N., Okada, T., Yoshida, Y., Hasegawa, K., Miwata, S., Hirayama, H., Ito, T., Kato, W., & Tajima, K. (2002). Intravenous vegetation of methicillin-resistant Staphylococcus aureus induced by central venous catheter in a patient with implantable cardioverter-defibrillator: A case report. Journal of Cardiology, 40(1), 31-35.