A complex case of pacemaker lead endocarditis. / Um caso complexo de endocardite de sondas de pacemaker.
Rev Port Cardiol
; 36(10): 775.e1-775.e5, 2017 Oct.
Article
em En, Pt
| MEDLINE
| ID: mdl-29037831
ABSTRACT
Pacemaker lead endocarditis is an uncommon complication after pacemaker implantation, but is associated with high rates of morbidity and mortality. The authors describe the case of a 68-year-old woman with a double-chamber pacemaker since 2007, admitted to an internal medicine department for spondylodiscitis and Staphylococcus aureus bacteremia. During hospitalization, she had an episode of syncope; the 12-lead electrocardiogram showed pacemaker malfunction with ventricular undersensing and loss of capture. A transesophageal echocardiogram showed images compatible with vegetations on the pacemaker leads. After antimicrobial therapy, the patient developed acute renal failure with subsequent multiple organ failure and death. A high index of clinical suspicion is required for early diagnosis and appropriate treatment of cardiac device-related infective endocarditis.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Marca-Passo Artificial
/
Infecções Estafilocócicas
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Infecções Relacionadas à Prótese
/
Endocardite Bacteriana
Tipo de estudo:
Screening_studies
Limite:
Aged
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Female
/
Humans
Idioma:
En
/
Pt
Ano de publicação:
2017
Tipo de documento:
Article