title: [Septic shock due to infective endocarditis of stimulation system of implantable cardioverter-defibrillator].
abstract: We present a case of a 60-year old patient hospitalized at the Department of Infectious Diseases and Travel Medicine, Medical faculty of UPJS and L. Pasteurs University Hospital in Kosice with suspected gastroenteritis. The patient was admitted to an intensive care unit because of the signs of septic shock. Within one hour from admission, the patient was administered early goal directed therapy for septic shock. Subsequently, infectious endocarditis of stimulation electrodes and tricuspid valve was identified as the origin of the infection. The stimulation system was then explanted from a stabilized and afebrile patient at the Department of cardiac Surgery of Eastern Slovak Institute of Cardiac and Vascular Diseases in Kosice. This case should emphasise frequently atypical course of this serious disease and the need for early identification of severe sepsis to enable timely management to affect mortality.
authors.affiliation: Klinika Srdcovvej Chirurgie, VUSCH a.s., Kosice, Prednosta MUDr. F. Sabol. iporubcin@gmail.com
authors.forename: I
authors.initials: I
authors.lastname: Porubčinová
authors.forename: S
authors.initials: S
authors.lastname: Porubčin
authors.forename: B
authors.initials: B
authors.lastname: Stančák
authors.forename: M
authors.initials: M
authors.lastname: Beňa
authors.forename: F
authors.initials: F
authors.lastname: Sabol
mesh_terms: D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004697:Endocarditis, Bacterial / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000382:microbiology; D012772:Shock, Septic / Q000209:etiology*; D013203:Staphylococcal Infections / Q000209:etiology*; D013211:Staphylococcus aureus