title: Bacteremia caused by late-infected pacemaker lead--a case report.
abstract: 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.
authors.affiliation: Center of Cardiovascular Disease, Shinshu University School of Medicine, Matsumoto, Japan. kinos@hsp.md.shinshu-u.ac.jp
authors.forename: Osamu
authors.initials: O
authors.lastname: Kinoshita
authors.forename: Jun
authors.initials: J
authors.lastname: Amano
authors.forename: Tamaki
authors.initials: T
authors.lastname: Takano
authors.forename: Hiroto
authors.initials: H
authors.lastname: Kitahara
authors.forename: Kenichi
authors.initials: K
authors.lastname: Itou
authors.forename: Shin-ichirou
authors.initials: S
authors.lastname: Uchikawa
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Yazaki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Imamura
authors.forename: Minoru
authors.initials: M
authors.lastname: Hongo
authors.forename: Keishi
authors.initials: K
authors.lastname: Kubo
mesh_terms: 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*