{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T02:54:48Z","timestamp":1789268088455,"version":"build-2803163510"},"reference-count":15,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,13]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>Despite the numerous advancements in cardiac implantable electronic defibrillator (CIED) designs and implantation techniques, device-related infections continue to represent significant morbidity and mortality. Although Gram-positive bacteria remain the most commonly reported organisms, various other bacterial families have been reported. We describe a 61-year-old patient with a history of non-ischaemic cardiomyopathy who presented with implantable cardioverter defibrillator pocket infection due to <jats:italic>Stenotrophomonas maltophilia<\/jats:italic> and <jats:italic>Pantoea calida<\/jats:italic> that developed a few days following the device generator replacement. Early device explantation, tissue sampling and initiation of sensitivity-directed antibiotics are necessary steps for early diagnosis and management of such CIED-related infections. <jats:italic>S. maltophilia<\/jats:italic> and <jats:italic>P. calida<\/jats:italic> should be added to the expanding list of the causative organisms behind CIED-related infections. Our case and available literature demonstrated excellent sensitivity of these two organisms to sulfamethoxazole-trimethoprim treatment.<\/jats:p>","DOI":"10.1136\/bcr-2019-230506","type":"journal-article","created":{"date-parts":[[2019,8,30]],"date-time":"2019-08-30T08:27:51Z","timestamp":1567153671000},"page":"e230506","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Rare case of implantable cardioverter defibrillator infection caused by <i>Stenotrophomonas maltophilia<\/i> and <i>Pantoea calida<\/i>"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2991-8689","authenticated-orcid":false,"given":"Mustafa","family":"Ajam","sequence":"first","affiliation":[{"name":"Internal Medicine, Detroit Medical Center, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Shokr","sequence":"additional","affiliation":[{"name":"Cardiology, DMC\/Wayne State University, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firas","family":"Ajam","sequence":"additional","affiliation":[{"name":"Internal Medicine, Jersey Shore University Medical Center, Neptune City, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randy","family":"Lieberman","sequence":"additional","affiliation":[{"name":"Cardiology, DMC\/Wayne State University, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,8,30]]},"reference":[{"key":"2025082708575176000_12.8.e230506.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.05.016"},{"key":"2025082708575176000_12.8.e230506.2","doi-asserted-by":"crossref","first-page":"060","DOI":"10.1055\/s-0036-1580733","article-title":"Treatment of Infected Cardiac Implantable Electronic Devices","volume":"30","author":"Fakhro","year":"2016","journal-title":"Semin Plast Surg"},{"key":"2025082708575176000_12.8.e230506.3","first-page":"433","article-title":"Microbiology and Pathogenesis of Cardiovascular Implantable Electronic Device Infections","volume":"5","author":"Nagpal","year":"2012","journal-title":"Circulation"},{"key":"2025082708575176000_12.8.e230506.4","doi-asserted-by":"crossref","first-page":"e92","DOI":"10.1016\/j.ijcard.2008.12.164","article-title":"Stenotrophomonas maltophilia pacemaker endocarditis in a patient with d-transposition of the great arteries after atrial switch procedure","volume":"145","author":"Rostoff","year":"2010","journal-title":"Int J Cardiol"},{"key":"2025082708575176000_12.8.e230506.5","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00019-11"},{"key":"2025082708575176000_12.8.e230506.6","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2015.00893"},{"key":"2025082708575176000_12.8.e230506.7","doi-asserted-by":"publisher","DOI":"10.1099\/ijs.0.019430-0"},{"key":"2025082708575176000_12.8.e230506.8","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.jiac.2017.01.001","article-title":"Pantoea calida bacteremia in an adult with end-stage stomach cancer under inpatient care","volume":"23","author":"Yamada","year":"2017","journal-title":"Journal of Infection and Chemotherapy"},{"key":"2025082708575176000_12.8.e230506.9","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1186\/1752-1947-8-195","article-title":"Postsurgical Pantoea calida meningitis: a case report","volume":"8","author":"Fritz","year":"2014","journal-title":"J Med Case Rep"},{"key":"2025082708575176000_12.8.e230506.10","doi-asserted-by":"publisher","DOI":"10.1159\/000112404"},{"key":"2025082708575176000_12.8.e230506.11","doi-asserted-by":"crossref","first-page":"579","DOI":"10.5348\/ijcri-2016103-CR-10691","article-title":"Implantable cardioverter defibrillator pocket infection caused by Stenotrophomonas maltophilia","volume":"7","author":"Buege","year":"2016","journal-title":"Int J Case Rep Imag"},{"key":"2025082708575176000_12.8.e230506.12","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.annemergmed.2013.07.508","article-title":"Images in emergency medicine. 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