| Summary points: | A 65-year-old male presents to the hospital complaining of a 2-week history of serosanguineous oozing coming from a healing surgical wound overlying an implantable cardioverter-defibrillator (ICD) that had been implanted 16 days earlier. No purulent discharge was seen and the area became increasingly painful. Physical examination, vital signs, current medications, medical history, laboratory findings, electrocardiogram, wound and blood cultures, trans-oesophageal echocardiography, and treatment are described. The authors discuss a case of an ICD pocket infection due to an uncommon pathogen. |