title: Allergic reaction to suture material after an ICD procedure: device infection mimicry.
abstract: When an implanted device is infected, complete explantation of the device system, including lead extraction, is usually required. Superficial problems with wound healing may be managed more conservatively, but distinguishing between a surface process and deeper infection can pose a clinical challenge. We present a case of poor wound healing after an ICD pocket revision procedure, and an allergic reaction to the suture material was found to be the cause. Diagnosis, management, and future implications of suture allergy are discussed.
authors.affiliation: Cardiac Electrophysiology Program, Cardiovascular Medicine Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
authors.forename: Cory M
authors.initials: CM
authors.lastname: Tschabrunn
authors.forename: Misha
authors.initials: M
authors.lastname: Rosenbach
authors.forename: Nimrod
authors.initials: N
authors.lastname: Lavi
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Cooper
mesh_terms: D001672:Biocompatible Materials / Q000009:adverse effects; D017147:Defibrillators, Implantable; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000175:diagnosis*; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000175:diagnosis*; D012086:Reoperation; D012882:Skin Tests; D013537:Sutures / Q000009:adverse effects*; D017180:Tachycardia, Ventricular / Q000150:complications / Q000628:therapy; D013771:Tetralogy of Fallot / Q000150:complications / Q000628:therapy; D014945:Wound Healing
chemical_list: D001672:Biocompatible Materials