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J Med Microbiol 58 (2009), 517-520; DOI: 10.1099/jmm.0.006759-0
© 2009 Society for General Microbiology
ISSN 0022-2615

Case Report

Pacemaker surgical site infection caused by Mycobacterium goodii

Hélène Marchandin1,2, Pascal Battistella3, Brigitte Calvet3, Hélène Darbas1, Jean-Marc Frapier3, Hélène Jean-Pierre1,2, Sylvie Parer4, Estelle Jumas-Bilak2, Philippe Van de Perre1,5 and Sylvain Godreuil1,5

1 Centre Hospitalier et Universitaire de Montpellier, Laboratoire de Bactériologie, F-34295 Montpellier, France

2 Université Montpellier 1, EA3755, Faculté de Pharmacie, Laboratoire de Bactériologie-Virologie, F-34060 Montpellier, France

3 Centre Hospitalier et Universitaire de Montpellier, Service de Chirurgie Thoracique et Cardio-Vasculaire, F-34295 Montpellier, France

4 Centre Hospitalier et Universitaire de Montpellier, Service d'Hygiène Hospitalière, F-34295 Montpellier, France

5 Université Montpellier 1, EA 4205, F-34000 Montpellier, France

Correspondence
Sylvain Godreuil
godreuil{at}yahoo.fr

Received September 21, 2008
Accepted December 22, 2008

We describe what we believe to be the first documented case of Mycobacterium goodii infection in Europe. It is also the second documented report of a pacemaker pocket surgical site infection caused by M. goodii. Although rarely involved in such infections, rapidly growing mycobacteria should be recognized during conventional bacteriological investigations and further identified by molecular tools to provide adequate therapy. In the present case, antimicrobial therapy with doxycycline without removal of the pacemaker was successful.

Abbreviations: CRP, C-reactive protein; RGM, rapidly growing mycobacteria.

The GenBank/EMBL/DDBJ accession number for the partial 16S rRNA gene sequence of the Mycobacterium goodii isolate is EU868812.






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