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Case Reports in Cardiology
Volume 2017, Article ID 8967234, 3 pages
https://doi.org/10.1155/2017/8967234
Case Report

Could Externalized St. Jude Medical Riata® Lead Be a Culture Medium of a Polymicrobial Endocarditis? A Clinical Case

Cardiology Unit, Cardiothoracic Department, University of Bari, Bari, Italy

Correspondence should be addressed to Zefferino Palamà; moc.duolci@amalap.onireffez

Received 1 October 2016; Revised 6 December 2016; Accepted 18 December 2016; Published 15 January 2017

Academic Editor: Hajime Kataoka

Copyright © 2017 Zefferino Palamà et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report the case of a man affected by polymicrobial endocarditis developed on a St. Jude Medical Riata lead with a malfunction because of the outsourcing of conductors. The patient was treated with antibiotic targeted therapy and showed different bacteria at the blood cultures and then underwent transvenous leads extraction. Vegetations were highlighted on the caval, atrial, and ventricular tracts of the Riata lead, but the cultures were all negative. The externalization of Riata lead may cause the malfunction but it could also promote bacterial colonies and vegetations. In conclusion, looking for early signs of infection is mandatory during Riata leads follow-up checks.