Right ventricular pacing wire thrombus presenting as pyrexia of unknown origin.
Pacing wire thrombosis may be invisible echocardiographically while producing severe symptoms. We report a patient whose pacing wire thrombosis presented as a pyrexial illness 5 months after its insertion. Treatment with tissue plasminogen activator provoked cardiovascular collapse; therefore, we recommend that such thrombosis be treated surgically.
Grunewald
R A
RA
Department of Medicine, Royal Postgraduate Medical School, London, England.
Smith
P L
PL
Nihoyannopoulos
P
P
Playford
R J
RJ
Levi
S
S
Hodgson
H J
HJ
D003327:Coronary Disease / Q000209:etiology*; D003328:Coronary Thrombosis / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013997:Time Factors