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  Vol. 161 No. 15, August 13, 2001 TABLE OF CONTENTS
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Pacemaker Infection Due to Brucella melitensis: A Case Report

Arch Intern Med. 2001;161:1910-1911.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Brucellosis is a zoonosis, and virtually all infections derive directly or indirectly from exposure to infected animals.1 Because the consumption of unpasteurized dairy products is widespread in Turkey, it is still an endemic disease there.2 Systemic brucellosis is by far the most frequent clinical form encountered, but unusual focal multiorganic involvements such as meningitis, spondylitis, endocarditis, arthritis, uveitis, mammary abscess, sacroiliitis, prostatitis, and orchitis have been mentioned in the literature.3-7

Infection is the most serious complication after placement of permanent endocardial pacemakers. Usually these infections result from normal flora of the skin. Staphylococci (Staphylococcus epidermidis and Staphylococcus aureus), Streptococcus species, Enterobacteriaceae, Pseudomonas aeruginosa, and Enterococcus species are the most common microorganisms.8 Rates of these infections have varied from 0.13% to 19.9% of the devices implanted.9 Sometimes unusual microorganisms may be isolated from pacemaker infections because of metastatic spread.8, 10 We report a case of pacemaker infection due . . . [Full Text of this Article]

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