The challenge of staphylococcal pacemaker endocarditis in a patient with transposition of the great arteries endocarditis in congenital heart disease.
Staphylococcus aureus is a leading cause of septicaemia and infective endocarditis. The overall incidence of staphylococcal bacteraemia is increasing, contributing to 16% of all hospital-acquired bacteraemias. The use of cardiac pacemakers has revolutionized the management of rhythm disturbances, yet this has also resulted in a group of patients at risk of pacemaker lead endocarditis and seeding in the range of 1% to 7%. We describe a 26-year-old man with transposition of the great arteries who had a pacemaker implanted and presented with S. aureus septicaemia 2 years postpacemaker implantation and went on to develop pacemaker lead endocarditis. This report illustrates the risk of endocarditis in the population with congenital heart disease and an intracardiac device.
Ch'ng
Julie
J
Department of Cardiology, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Melbourne, Australia.
Chan
William
W
Lee
Paul
P
Joshi
Subodh
S
Grigg
Leanne E
LE
Ajani
Andrew E
AE
D000328:Adult; D016470:Bacteremia / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000382:microbiology*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000209:etiology*; D014188:Transposition of Great Vessels / Q000628:therapy*