Mycobacterium fortuitum causing infection of a biventricular pacemaker/implantable cardioverter defibrillator

Increased utilization of cardiovascular implantable electronic devices [CIED] has seen a corresponding rise in related infections. Non-tuberculosis mycobacteria [NTM] are rarely the cause. Treatment involves susceptibilities, antimicrobials, and device removal. This study presents a patient who underwent a biventricular implantable cardioverter defibrillator upgrade with a multi-drug resistant Mycobacterium fortuitum located at the pocket site and a lead infection.