Pacemaker surgical site infection caused by Mycobacterium goodii

• Published in: Journal of medical microbiology Vol. 58; no. 4; pp. 517 - 520
• Main Authors: Marchandin, Helene, Battistella, Pascal, Calvet, Brigitte, Darbas, Helene, Frapier, Jean-Marc, Jean-Pierre, Helene, Parer, Sylvie, Jumas-Bilak, Estelle, Van de Perre, Philippe, Godreuil, Sylvain
• Format: Journal Article
• Language: English
• Published: Reading Soc General Microbiol 01.04.2009; Society for General Microbiology
• Subjects: Anti-Bacterial Agents - pharmacology; Anti-Bacterial Agents - therapeutic use; Bacteriology; Biological and medical sciences; Drug Resistance, Multiple, Bacterial; Emerging diseases; Fundamental and applied biological sciences. Psychology; Human health and pathology; Humans; Infectious diseases; Life Sciences; Male; Medical sciences; Microbiology; Miscellaneous; Mycobacterium - classification; Mycobacterium - drug effects; Mycobacterium - isolation & purification; Mycobacterium goodii; Mycobacterium Infections - diagnosis; Mycobacterium Infections - drug therapy; Mycobacterium Infections - etiology; Pacemaker, Artificial; Surgical Wound Infection - drug therapy; Surgical Wound Infection - microbiology; Young Adult; Nosocomial infection; Mycobacterium; Microbiology; Mycobacteriales; Mycobacteriaceae; Bacteria; Actinomycetes
• ISSN: 0022-2615; 1473-5644
• DOI: 10.1099/jmm.0.006759-0

1 Centre Hospitalier et Universitaire de Montpellier, Laboratoire de Bactériologie, F-34295 Montpellier, France 2 Université Montpellier 1, EA3755, Faculté de Pharmacie, Laboratoire de Bactériologie-Virologie, F-34060 Montpellier, France 3 Centre Hospitalier et Universitaire de Montpellier, Service de Chirurgie Thoracique et Cardio-Vasculaire, F-34295 Montpellier, France 4 Centre Hospitalier et Universitaire de Montpellier, Service d'Hygiène Hospitalière, F-34295 Montpellier, France 5 Université Montpellier 1, EA 4205, F-34000 Montpellier, France Correspondence Sylvain Godreuil godreuil{at}yahoo.fr Received September 21, 2008 Accepted December 22, 2008 We describe what we believe to be the first documented case of Mycobacterium goodii infection in Europe. It is also the second documented report of a pacemaker pocket surgical site infection caused by M. goodii . Although rarely involved in such infections, rapidly growing mycobacteria should be recognized during conventional bacteriological investigations and further identified by molecular tools to provide adequate therapy. In the present case, antimicrobial therapy with doxycycline without removal of the pacemaker was successful. Abbreviations: CRP, C-reactive protein; RGM, rapidly growing mycobacteria. The GenBank/EMBL/DDBJ accession number for the partial 16S rRNA gene sequence of the Mycobacterium goodii isolate is EU868812.