Mycobacterium Tuberculosis Infection at Pacemaker Implantation Site

Expanding clinical indications of cardiac rhythm management have led to an increased use of pacemaker implantation which is associated with increased incidence of pacemaker infections. Staphylococcus aureus and epidermidis account for the majority of pacemaker infections. Infection of implantable cardiac devices by mycobacterium species, particularly mycobacterial tuberculosis is rare. We present a case of delayed pacemaker pocket infection with tuberculosis and review of literature of pacemaker infections with mycobacterium species.