Fever and cardiac arrest in a patient with a left ventricular assist device

Eugene M. Tan, Jasmine R. Marcelin, Aaron J. Tande, Stacey Rizza, Nathan W Cummins

Research output: Contribution to journalArticle

Abstract

A 68-year-old avid deer hunter with ischemic cardiomyopathy underwent left ventricular assist device (LVAD) implantation for destination therapy two years ago. He was living an active lifestyle, tracking deer and fishing in a Midwestern forest in November. His wife removed an engorged tick on his thorax. A few days later, he experienced fever, confusion, and ataxia and was hospitalized with septic shock and ventricular fibrillation. The LVAD site had no signs of trauma, drainage, warmth, or tenderness. A peripheral blood smear revealed intraleukocytic anaplasma microcolony inclusions. After completing 14 days of doxycycline, he recovered. Typical non-device-associated infections in LVAD recipients include pneumonia, urinary tract infection, or Clostridium difficile colitis. Human granulocytic anaplasmosis (HGA) is a very atypical non-LVAD infection, and the incidence of tickborne illnesses in LVAD recipients is unknown.

Original languageEnglish (US)
Article numberofv033
JournalOpen Forum Infectious Diseases
Volume2
Issue number2
DOIs
StatePublished - 2015

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Keywords

  • Anaplasma
  • Fever
  • Left ventricular assist device

ASJC Scopus subject areas

  • Oncology
  • Clinical Neurology

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