A Case of Endocarditis Related to Pacemaker-Lead Infection.
- Author:
Dong Rim KIM
1
;
Ok PARK
;
Ki Ho PARK
;
Sung Hee SHIN
;
Jang Wook SOHN
;
Hee Jin CHEONG
;
Woo Joo KIM
;
Young Hoon KIM
;
Min Ja KIM
;
Seung Chul PARK
;
Hyoung Mook KIM
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pacemaker;
Infective Endocarditis;
Methicillin-resistant Staphylococcus epidermidis
- MeSH:
Adult;
Anti-Bacterial Agents;
Diagnosis;
Echocardiography;
Electrodes;
Endocarditis*;
Humans;
Male;
Methicillin Resistance;
Staphylococcus epidermidis;
Thoracic Surgery;
Tricuspid Valve
- From:Korean Journal of Infectious Diseases
1999;31(5):450-454
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endocarditis related to pacemaker-lead infection is a rare complication characterized by infection on the pacemaker electrode tip, tricuspid valve, or the fibrotic endocardial areas that are in contact with the electrode tip. However, it is a serious, potentially life-threatening complication. We experienced a case of pacemaker endocarditis in a 39-year old male patient in whom a permanent pacemaker had been inserted four years before. The diagnosis was made by the demonstration of vegetations on the electrode tip of the pacemaker, that was detected by transthoracic echocardiography and isolation of methicillin-resistant Staphylococcus epidermidis from blood culture. The patient was managed with antibiotics for six weeks and the infected electrode was removed by open heart surgery.
