Table 1 Timeline
2011.5.30 | Implanted the cardiac resynchronization therapy-defibrillator device |
|---|---|
2011.6.11 | Onset of pain and swelling at his CRT-D pocket site |
2011.6.15 | Empirically anti-infective treatment by intravenous Vancomycin and Cefepime. |
2011.6.18 | Pocket reconstruction and CRT-D re-implanted below pectoralis major muscle at the left pectoral region. |
2011.6.21 | Incision was not healed and exudation was collected for culture |
2011.6.23 | Exudation smear was positive for acid-fast bacillus and culture results showed rapid growing nontuberculous mycobacteria(RGM) |
2011.6.24 | PCR amplification of the bacterial 16S ribosomal RNA gene, it was identified as Mycobacterium fortuitum. |
2011.6.25 | Entire CRT-D device and leads were removed |
2011.6.25 | Antibacterial treatment: Clarithromycin and Moxifloxacin and Amikacin for 2 months. |
2011.8.25 | Therapy with oral Clarithromycin and Moxifloxacin for one year. |
2012.8 | Stop antibacterial treatment |
2013.8 | Follow- up after one year |
2014.8 | Follow-up two years and received a new CRT-D device implantation. |
2018.8 | Follow-up four-years after new device implanted. No symptoms of any infection. |