title: [Infective endocarditis on probe of pacemaker].
abstract: Infective endocarditis is an uncommon but potentially lethal complication of permanent cardiac pacing. Infection is mainly caused by local contamination during the implantation procedure. The most frequently detected causative microorganisms were staphylococci. The clinical presentation is often atypical causing prolonged diagnostic delay. Bacteriological data and visualisation of neostructures consistent with vegetations on transoesophageal echocardiography, strongly suggest pacemaker lead infection. Management is based on a combined approach using both prolonged antibiotic treatment and early complete device explantation. Percutaneous techniques are currently the method of choice for lead extraction but it is not without possible complications. Antibiotic prophylaxis in order to reduce infection risk related to pacemaker implantation is widely recommended.
authors.affiliation: Service de Cardiologie, Hôpital Militaire de Tunis.
authors.forename: Thouraya
authors.initials: T
authors.lastname: Filali
authors.forename: Wafa
authors.initials: W
authors.lastname: Fehri
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ben Moussa
authors.forename: Sami
authors.initials: S
authors.lastname: Chriaa
authors.forename: Nadia
authors.initials: N
authors.lastname: Barakett
authors.forename: Mehdi
authors.initials: M
authors.lastname: Gommidh
authors.forename: Dhaker
authors.initials: D
authors.lastname: Lahidheb
authors.forename: Othmen
authors.initials: O
authors.lastname: Salah
authors.forename: Nadhem
authors.initials: N
authors.lastname: Hajlaoui
authors.forename: Imène
authors.initials: I
authors.lastname: Saaidi
authors.forename: Abdedayem
authors.initials: A
authors.lastname: Haggui
authors.forename: Zahreddine
authors.initials: Z
authors.lastname: Smiri
authors.forename: Habib
authors.initials: H
authors.lastname: Haouala
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000517:prevention & control; D004866:Equipment Contamination; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D012008:Recurrence; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013211:Staphylococcus aureus; D013212:Staphylococcus epidermidis; D013997:Time Factors
chemical_list: D000900:Anti-Bacterial Agents