title: Cardiac device-associated lead infection: a diagnosis not to be missed.
abstract: A 66-year-old gentleman was admitted to hospital with a history of general malaise for 5 months. His symptoms worsened 2 weeks prior to presentation. He experienced swinging pyrexia, night sweats and shortness of breath on exertion. Initial evaluation did not reveal any source of infection. Subsequent investigation revealed infection with vegetation affecting the intra-cardiac leads of cardiac resynchronization therapy device (CRT-D). The patient was treated with prolonged intravenous antibiotics and removal of the device and indwelling leads. The patient made a full recovery and a new device was implanted.
authors.affiliation: Peterborough City Hospital , Peterborough PE3 9GZ , UK.
authors.forename: Malcolm
authors.initials: M
authors.lastname: Marquette
authors.affiliation: Cambridge University, Addenbrooke's Hospital , Cambridge CB2 0QQ , UK.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Budhdeo
authors.affiliation: West Suffolk Hospital , Bury St Edmunds IP33 2QZ , UK.
authors.forename: Vivek
authors.initials: V
authors.lastname: Rajagopal
authors.affiliation: West Suffolk Hospital , Bury St Edmunds IP33 2QZ , UK.
authors.forename: Mirela
authors.initials: M
authors.lastname: Marinescu