Author/Authors :
Roeden, Sonja van Department of Internal Medicine - Diakonessenhuis, KE Utrecht, Netherlands , Hartog, Hans Department of Cardiology, Diakonessenhuis, KE Utrecht, Netherlands , Bongers, Vivian Department of Nuclear Medicine - Diakonessenhuis, KE Utrecht, Netherlands , Thijsen, Steven Department of Microbiology - Diakonessenhuis, KE Utrecht, Netherlands , Sankatsing, Sanjay Department of Internal Medicine - Diakonessenhuis, KE Utrecht, Netherlands
Abstract :
Abiotrophia species are relatively slow growing pathogens, which may be present as commensal flora. However, invasive infections
are frequently reported, like endocarditis, septic arthritis, osteomyelitis, and many other types of infection. In this case report we
describe a 65-year-old male patient with an intracardiac device- (ICD-) lead infection caused by Abiotrophia defectiva. Diagnosis
was confirmed by 18F-FDG-PET scanning. This is remarkable, since Abiotrophia defectiva is a slow growing pathogen causing lowgrade infections. This case demonstrates that although infection of ICD-leads cannot be excluded in case of 18F-FDG-PET-negative
findings, positive findings are highly suggestive for infection.
