title: Right ventricular pacing wire thrombus presenting as pyrexia of unknown origin.
abstract: 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.
authors.affiliation: Department of Medicine, Royal Postgraduate Medical School, London, England.
authors.forename: R A
authors.initials: RA
authors.lastname: Grunewald
authors.forename: P L
authors.initials: PL
authors.lastname: Smith
authors.forename: P
authors.initials: P
authors.lastname: Nihoyannopoulos
authors.forename: R J
authors.initials: RJ
authors.lastname: Playford
authors.forename: S
authors.initials: S
authors.lastname: Levi
authors.forename: H J
authors.initials: HJ
authors.lastname: Hodgson
mesh_terms: 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