[Systemic infection due to implanted leads of a cardiac pacemaker. Apropos of a case and review of the literature].
Systemic infection related to transvenous pacemaker-leads are rare, but their diagnosis is difficult. We report the observation of a 78-year-old patient whose recurrent Staphylococcus aureus septicemias linked to endocarditis related to an endovascular lead only on a third observation, characterized by an infectious bone localization. Transoesophageal echocardiography appears as the reference diagnostic method. The treatment lies in the surgical ablation of the pacing system and a prolonged antibiotic therapy. The heavy mortality caused by these pathologies leads us to reconsider the interest of a prophylaxis, particularly for elderly patients.
Delpierre
S
S
Service d'Urgences-Médecine Générale, Hôpital Henri-Mondor, Créteil.
Le Heiget
H
H
Sauvaget
F
F
Sevin
E
E
Montagne
O
O
Lejonc
J L
JL
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D012008:Recurrence; D012086:Reoperation; D018805:Sepsis / Q000175:diagnosis*; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000000981:diagnostic imaging
D000900:Anti-Bacterial Agents
Infection systémique sur sondes endocavitaires de stimulateur cardiaque. A propos d'un cas et revue de la littérature.