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This suggests that MN can be secondary to MMP, and rituximab may be useful induce remission in cases that are refractory to standard therapy. Cardiovascular implantable electronic devices (CIEDs) are being increasingly used in the primary and secondary prevention of malignant ventricular arrhythmias and conduction system disorders. Infectious complications associated with CIEDs include infective endocarditis, lead infections, and pocket-site infections, primarily involving species. Infective endocarditis is a rare but life-threatening co