A Rare Case of HACEK Endocarditis in the Context of a Permanent Pacemaker

Authors

  • Alejandro Echavarria Cross Universidad CES
  • Tomás Escobar Gil Universidad CES
  • Gustavo Roncancio Villamil Clínica CardioVID
  • Luisa Durango Gutiérrez Clínica CardioVID

DOI:

https://doi.org/10.21615/cesmedicina.7273

Keywords:

endocarditis bacteriana, grupo HACEK, Haemophilus influenzae, marcapaso artificial, técnicas de imagen cardíaca

Abstract

Introduction: Infective endocarditis (IE) is a serious medical condition that can lead to high morbidity and mortality rates. The prevalence of healthcare-associated IE is increasing due to the use of therapeutic devices, such as intravascular catheters and cardiac devices. The HACEK group of bacteria, are commonly found in human respiratory and genitourinary tracts, are low virulence and fastidious organisms that are associated with blood culture-negative endocarditis. Proper diagnosis requires a combination of clinical, microbiological, and imaging results. The following study presents a case of atypical device-associated IE caused by Haemophilus influenzae in a 56-year-old man with a permanent pacemaker. Methodology: description of a clinical problem, its diagnosis, management, and outcome, accompanied with a literature review. Conclusion: This study highlights the importance of considering the HACEK group of bacteria in culture-negative IE cases and the use of advanced imaging techniques in diagnosis to prevent further complications and improve patient outcomes.

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Author Biographies

Alejandro Echavarria Cross, Universidad CES

Médico Residente de Medicina Interna, Universidad CES.

Tomás Escobar Gil, Universidad CES

Médico general, Universidad CES.

Gustavo Roncancio Villamil, Clínica CardioVID

Especialista en medicina interna e infectología, Clínica CardioVID.

Luisa Durango Gutiérrez, Clínica CardioVID

Especialista en medicina interna, cardiología y ecocardiografía. Clínica CardioVID.

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Published

2023-10-27

How to Cite

Echavarria Cross, A., Escobar Gil, T., Roncancio Villamil, G., & Durango Gutiérrez, L. (2023). A Rare Case of HACEK Endocarditis in the Context of a Permanent Pacemaker. CES Medicina, 37(2), 90–95. https://doi.org/10.21615/cesmedicina.7273

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Reporte de caso
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