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Nielsen XC, Nielsen FT, Kurtzhals JA, et al. Management of recurrent pacemaker-related bacteraemia with small colony variant Staphylococcus aureus in a haemodialysis patient. BMJ Case Rep. 2009;2009doi: 10.1136/bcr.05.2009.1910.
Nielsen, X. C., Nielsen, F. T., Kurtzhals, J. A., Moser, C., Boye, K., Christensen, J. J., Johansen, U. R., & Westh, H. (2009). Management of recurrent pacemaker-related bacteraemia with small colony variant Staphylococcus aureus in a haemodialysis patient. BMJ case reports, 2009. https://doi.org/10.1136/bcr.05.2009.1910
Nielsen, Xiaohui Chen, et al. "Management of recurrent pacemaker-related bacteraemia with small colony variant Staphylococcus aureus in a haemodialysis patient." BMJ case reports vol. 2009 (2009). doi: https://doi.org/10.1136/bcr.05.2009.1910
Nielsen XC, Nielsen FT, Kurtzhals JA, Moser C, Boye K, Christensen JJ, Johansen UR, Westh H. Management of recurrent pacemaker-related bacteraemia with small colony variant Staphylococcus aureus in a haemodialysis patient. BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.05.2009.1910. Epub 2009 Aug 20. PMID: 21857872; PMCID: PMC3029867.
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BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.05.2009.1910. Epub 2009 Aug 20.

Management of recurrent pacemaker-related bacteraemia with small colony variant Staphylococcus aureus in a haemodialysis patient.

BMJ case reports

Xiaohui Chen Nielsen, Finn Thomsen Nielsen, Jørgen A L Kurtzhals, Claus Moser, Kit Boye, Jens Jørgen Christensen, Ulla Rydal Johansen, Henrik Westh

Affiliations

  1. Næstved Sygehus, Clinical Microbiology, Herlufvænge 14A, Næstved, 4700, Denmark.

PMID: 21857872 PMCID: PMC3029867 DOI: 10.1136/bcr.05.2009.1910

Abstract

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.

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