Candida albicans pacemaker site infection.
A 69-year-old man with a history of diabetes and episodic lymphocytopenia underwent pacemaker implantation for complete heart block. Despite prophylactic antibiotics, pocket irrigation, and strict sterile technique, a fungal (Candida albicans) pacemaker site infection developed that required pacemaker explanation and systemic amphotericin B therapy. After 3 days of temporary pacing, a second pulse generator was implanted on the opposite side. At 2-year follow-up, he has had no recurrence of pacemaker infection. This report underscores the predilection of diabetics for infections, and in particular, their susceptibility to Candida albicans.
Cohen
T J
TJ
Department of Medicine, University of California, San Francisco, California.
Pons
V G
VG
Schwartz
J
J
Griffin
J C
JC
D000368:Aged; D000666:Amphotericin B / Q000627:therapeutic use; D002177:Candidiasis; D003924:Diabetes Mellitus, Type 2; D005500:Follow-Up Studies; D006327:Heart Block / Q000628:therapy; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D013530:Surgical Wound Infection
D000666:Amphotericin B