Objective: Rare disease Background: Recently, the use of cardiac implantable electrophysiological devices (CIEDs) has increased. Advances in med- ical technology, an increasingly aging population, increases in clinical indications, and expanded medical in- surance coverage for these devices have all contributed to this trend. Infection is considered to be one of the most serious complications of CIEDs and carries a significant risk of morbidity and mortality. Although infec- tion with Staphylococcus sp. accounts for the majority of cases, other bacteria have been implicated as caus- ative agents of infection of CIEDs. Case Report: We report the first case of primary pacemaker generator pocket and lead infection due to Burkholderia cepa- cia (B. cepacia) in the state of Qatar. To our knowledge, there have been few cases of CIED infection due to B. cepacia previously reported in the literature. Conclusions: This case raises awareness of B. cepacia as a potential opportunistic pathogen in CIED infection. The more rare bacteria require culture on special media to provide an early diagnosis to enable proper antimicrobial therapy to commence. Adherence to infection control standards during CIED insertion would reduce infection from B. cepacia.
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