Pasteurella Multocida Cardiovascular Implantable Electronic Device Infection with Recurrent Bacteremia: A Case Report

The annual rate of placement of cardiovascular implantable electronic devices (CIEDs), which includes pacemakers and implantable cardiac defibrillators, has steadily increased over the last several decades. With an increasing number of implantations has been an increasing incidence of CIED infections. It is generally recommended that patients with infections of CIEDs complete a course of antibiotics and have the device removed if possible. However, gram-negative organisms are uncommon in CIED infection, and it has been suggested that cases of suspected gram-negative CIED infection may not necessitate the same management approach. Here, we report a case of presumed Pasteurella multocida CIED infection and share our experience with its several management challenges.