title: Infection of pacemaker lead by penicillin-resistant Streptococcus Pneumoniae.
abstract: Penicillin-resistant Streptococcus pneumoniae (PRSP) infections have steadily increased worldwide; however, there are only a few reports of permanent pacemaker-related infections caused by PRSP. Here, we describe a patient who developed 7 episodes of endocarditis and sepsis from PRSP infection of the pacemaker lead in the right atrium. By periodic administration of vancomycin and extraction of both leads, we resolved the infection.
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan. udon@jichi.ac.jp
authors.forename: Hideki
authors.initials: H
authors.lastname: Morita
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Misawa
authors.forename: Shinichi
authors.initials: S
authors.lastname: Oki
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Saito
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D020878:Device Removal; D004334:Drug Administration Schedule; D004697:Endocarditis, Bacterial / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000382:microbiology*; D010403:Penicillin Resistance; D011008:Pneumococcal Infections / Q000382:microbiology* / Q000628:therapy; D012008:Recurrence; D018805:Sepsis / Q000382:microbiology* / Q000628:therapy; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*; D016896:Treatment Outcome; D014640:Vancomycin / Q000008:administration & dosage
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin