Bacteremia caused by late-infected pacemaker lead--a case report.
A 73-year-old man with bradycardia and atrial fibrillation underwent implantation of a transvenous pacemaker system on the left anterior chest wall in 1995. Six years later, he was admitted for bacteremia from coagulase-negative Staphylococcus. Repeated treatment employing antibiotic therapy was ineffective. The infected electrode was removed under cardiopulmonary bypass. His electrode had become firmly encased with fibrous tissue within the right ventricle and atrium. It was removed under direct vision during complete cardiac arrest. The postoperative course was uneventful and there has been no recurrence after 1 year.
Kinoshita
Osamu
O
Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan. kinos@hsp.md.shinshu-u.ac.jp
Amano
Jun
J
Takano
Tamaki
T
Kitahara
Hiroto
H
Itou
Kenichi
K
Uchikawa
Shin-ichirou
S
Yazaki
Yoshikazu
Y
Imamura
Hiroshi
H
Hongo
Minoru
M
Kubo
Keishi
K
D000368:Aged; D016470:Bacteremia / Q000209:etiology*; D020878:Device Removal; D004567:Electrodes, Implanted / Q000009:adverse effects; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects; D016459:Prosthesis-Related Infections / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000209:etiology*