title: Aspergillus pacemaker lead endocarditis.
abstract: A 47-year-old man who had a pacemaker implanted 2 years earlier, recently developed a fever and had been on antibiotics for 2 months. He presented with pulmonary emboli, and underwent lead extraction and emboli removal. Histopathology demonstrated Aspergillus. Amphotericin B was continued postoperatively. This rare case of pacemaker lead endocarditis suggests that vigorous medical and surgical intervention can be curative.
authors.affiliation: Department of Cardiothoracic Surgery, Delhi Heart and Lung Institute Super Speciality Hospital, New Delhi, India.
authors.forename: Jeewan
authors.initials: J
authors.lastname: Pillai
authors.forename: Mohammad
authors.initials: M
authors.lastname: Mubeen
authors.forename: Amit
authors.initials: A
authors.lastname: Chaudhari
authors.forename: Basant
authors.initials: B
authors.lastname: Dalmia
mesh_terms: D000666:Amphotericin B / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D001228:Aspergillosis / Q000175:diagnosis / Q000382:microbiology*; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D017128:Embolectomy; D004696:Endocarditis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B
keywords: Antifungal agents; aspergillus fumigates; echocardiography; endocarditis; pacemaker