title: Persistent fever after pacemaker lead extraction.
abstract: The implant indication of cardiac electronic devices continues to expand; therefore, we have observed increasing complications related to their removal. We describe the case of a patient who presented with prolonged bloodstream infection after having undergone removal of a pacemaker. After extensive workup for fever of unknown origin and antibiotic therapy without any improvement, it was possible to demonstrate a foreign body in the right subclavian vein and superior vena cava corresponding to the distal part of the right ventricular lead. Endovascular removal of the foreign body and prolonged antibiotic administration was followed by complete resolution of the clinical picture. We ascribed the difficulty in diagnosing the source of the infection especially to the lack of local manifestations.
authors: Hospital das Clinicas, School of Medicine of the Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Electronic address: mcarmo@waymail.com.br.
authors: Maria Carmo Pereira
authors: MC
authors: Nunes
authors: Hospital das Clinicas, School of Medicine of the Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors: Túlio Pinho
authors: TP
authors: Navarro
authors: Hospital das Clinicas, School of Medicine of the Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors: Mariana de Braga Lima
authors: MB
authors: Carvalho
authors: Faculdade de Ciências Médicas de Minas Gerais (FCMMG), Belo Horizonte, MG, Brazil.
authors: Nicole de Paula Aarão Faleiro
authors: NP
authors: Maia
authors: Hospital das Clinicas, School of Medicine of the Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors: Ricardo Jayme
authors: RJ
authors: Procópio
authors: Hospital das Clinicas, School of Medicine of the Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors: Teresa Cristina Abreu
authors: TC
authors: Ferrari
keywords: Bloodstream infection; Endocarditis; Foreign body; Lead extraction; Pacing