Delayed infection of the automatic implantable cardioverter-defibrillator. Current recognition and management.
Three cases of delayed infection of automatic implantable cardioverter-defibrillator devices without systemic manifestations are reported. Computed tomographic scan of the heart revealed fluid deep to the patch in each case. Sonication of explanted automatic implantable cardioverter-defibrillator patches facilitated the recovery of adherent microorganisms in one case. Management of this previously unrecognized problem is outlined.
Almassi
G H
GH
Department of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee 53226.
Olinger
G N
GN
Troup
P J
PJ
Chapman
P D
PD
Goodman
L R
LR
D000368:Aged; D000666:Amphotericin B / Q000627:therapeutic use; D002177:Candidiasis / Q000188:drug therapy / Q000209:etiology; D002437:Cefazolin / Q000627:therapeutic use; D004554:Electric Countershock / Q000295:instrumentation*; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology; D013212:Staphylococcus epidermidis; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors
D000666:Amphotericin B; D002437:Cefazolin