Retention of pacemaker electrode complicated by Serratia marcescens septicemia. Removal with total cardiopulmonary bypass.
A case in which Serratia marcescens septicemia complicated the insertion of a transvernous pacemaker unit is reported. Appropriate antibiotic therapy and removal of the pacemaker electrode are two essential steps to achieve a complete cure in this stimulation. Open cardiotomy with total cardiopulmonary bypass provides a safe approach for withdrawal of an incarcerated electrode and is justified because of the lethal potential of systemic Serratia infections, particularly those superimposed on intracardiac prostheses.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002315:Cardiopulmonary Bypass; D004567:Electrodes, Implanted / Q000009:adverse effects; D004756:Enterobacteriaceae Infections / Q000188:drug therapy / Q000209:etiology*; D005547:Foreign Bodies / Q000601:surgery; D006321:Heart; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D018805:Sepsis / Q000188:drug therapy / Q000209:etiology*; D012706:Serratia marcescens
D000900:Anti-Bacterial Agents