[Chronic bacterial endocarditis on the electrical catheter in a pacemaker wearer: a clinical case report].
This article reports a case of infective endocarditis in a patient with a permanent pacemaker 15 months after the generator had been replaced. The patient had Staphylococcus epidermidis isolated in several blood cultures. No interventional or clinical procedure with any risk of bacteremia was performed, nor was any infective complication of the pocket observed. Thus, the portal of entry of the etiologic agent is unclear. The role of transesophageal echocardiography in detecting pacemaker-induced endocarditis is very important and therapy of choice involves removal of the pacemaker system as soon as possible.
Perrone
C
C
Divisione di Cardiologia, UCIC Ospedale di Arzignano, VI.
Fornaro
G
G
De Dominicis
E
E
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents; D002908:Chronic Disease; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004452:Echocardiography; D004566:Electrodes / Q000009:adverse effects; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging* / Q000628:therapy; D019233:Retreatment; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000628:therapy; D013212:Staphylococcus epidermidis; D014261:Tricuspid Valve / Q000000981:diagnostic imaging
D000900:Anti-Bacterial Agents
Endocardite batterica cronica su elettrocatetere in portatore di pacemaker: descrizione di un caso clinico.