title: [Systemic infection due to implanted leads of a cardiac pacemaker. Apropos of a case and review of the literature].
abstract: 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.
authors.affiliation: Service d'Urgences-Médecine Générale, Hôpital Henri-Mondor, Créteil.
authors.forename: S
authors.initials: S
authors.lastname: Delpierre
authors.forename: H
authors.initials: H
authors.lastname: Le Heiget
authors.forename: F
authors.initials: F
authors.lastname: Sauvaget
authors.forename: E
authors.initials: E
authors.lastname: Sevin
authors.forename: O
authors.initials: O
authors.lastname: Montagne
authors.forename: J L
authors.initials: JL
authors.lastname: Lejonc
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Infection systémique sur sondes endocavitaires de stimulateur cardiaque. A propos d'un cas et revue de la littérature.