Intravascular Stent-related Endocarditis due to Rapidly Growing Mycobacteria : A New Problem in the Developing World

J Assoc Physicians India. 2015 Jan;63(1):18-21.

Abstract

We report five patients with infective endocarditis (IE) due to rapidly growing mycobacteria (RGM) which we postulate are related to the reuse of percutaneous transluminal angioplasty balloon catheters prior to the intravascular stent placement. The index procedure was performed at various institutes in different parts of the country. We call attention to diagnostic and therapeutic difficulties and the uniformly dismal outcome of RGM IE as well as the potential hazards of re-use of single-use devices.

MeSH terms

  • Angioplasty
  • Angioplasty, Balloon, Coronary
  • Anti-Bacterial Agents / therapeutic use
  • Aortic Aneurysm / surgery*
  • Aortitis / diagnosis*
  • Aortitis / therapy
  • Coronary Artery Disease / surgery*
  • Developing Countries
  • Device Removal
  • Endocarditis, Bacterial / diagnosis*
  • Endocarditis, Bacterial / therapy
  • Humans
  • Male
  • Middle Aged
  • Mycobacterium Infections, Nontuberculous / diagnosis*
  • Mycobacterium Infections, Nontuberculous / therapy
  • Nontuberculous Mycobacteria / isolation & purification*
  • Percutaneous Coronary Intervention
  • Prosthesis-Related Infections / diagnosis*
  • Prosthesis-Related Infections / therapy
  • Renal Artery Obstruction / surgery
  • Retrospective Studies
  • Stents*

Substances

  • Anti-Bacterial Agents