Document Detail


Pacemaker-related endocarditis. Report of 7 cases and review of the literature.
MedLine Citation:
PMID:  10085483     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report on 7 patients with pacemaker endocarditis diagnosed during the workup of long-standing fever. Persistent positive blood cultures and echocardiography led to the diagnosis in 6 patients whereas autopsy was diagnostic in another. Causative microorganisms were Staphylococcus epidermidis (3), Staphylococcus lugdunensis (1), Pseudomonas aeruginosa (1), Streptococcus bovis (1), and Streptococcus mitis-Streptococcus sanguis (1). Pulmonary embolism was present in nearly 50% of the cases, a figure clearly higher than previously reported. In all but 1 case the initial medical approach was not successful, and thus the pacing system was finally removed. None of the cases relapsed after the removal. We have reviewed the literature regarding pacemaker endocarditis, particularly with respect to treatment.
Authors:
M Laguno; O Miró; C Font; A de la Sierra
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Cardiology     Volume:  90     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  1998  
Date Detail:
Created Date:  1999-06-03     Completed Date:  1999-06-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  244-8     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Hospital Clínic, University of Barcelona, Spain.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Electrodes, Implanted / adverse effects,  microbiology
Endocarditis / etiology*,  pathology,  ultrasonography
Female
Fever / etiology
Humans
Male
Middle Aged
Pacemaker, Artificial / adverse effects*,  microbiology*
Pseudomonas Infections / complications
Pulmonary Embolism / complications,  pathology
Staphylococcal Infections / complications
Streptococcal Infections / complications

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