title: [Recurrent septicaemia following incomplete removal of pacemaker leads].
abstract: BACKGROUND
  Septicaemia on endocardial pacemaker leads is very rare but the presentation is insidious and the prognosis very bad if all the implanted materiel is not completely removed.
  
  
  METHODS
  A 55 year-old woman presented three episodes of Staphylococcus epidermidis septicaemia in three years, after incomplete removal of the pacing system. Permanent cure was finally obtained after complete removal of the pacemaker material.
  
  
  CONCLUSIONS
  Emphasis must be placed on the difficulty in diagnosing and treating such affections, their severity and also the interest of a certain number of prophylactic measures.
authors.affiliation: Service de cardiologie, Hôpital d'Instruction des Armées, Lyon. alhmadies@oreka.com
authors.forename: Vincent
authors.initials: V
authors.lastname: Griffet
authors.forename: Jean-Raymond
authors.initials: JR
authors.lastname: Caignault
authors.forename: Patrick
authors.initials: P
authors.lastname: Godon
authors.forename: Sylvain
authors.initials: S
authors.lastname: Guérard
authors.forename: Richard
authors.initials: R
authors.lastname: Brion
authors.forename: Philippe
authors.initials: P
authors.lastname: Chevalier
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001247:Asthenia / Q000382:microbiology; D016470:Bacteremia / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D003428:Cross Infection / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D020878:Device Removal / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D017548:Echocardiography, Transesophageal; D005260:Female; D005334:Fever / Q000382:microbiology; D006801:Humans; D017053:Infection Control / Q000379:methods; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011379:Prognosis; D011486:Protein C / Q000378:metabolism; D012008:Recurrence; D013203:Staphylococcal Infections / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D013212:Staphylococcus epidermidis; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D011486:Protein C