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Chronic bacterial endocarditis on the electrical catheter in a pacemaker wearer: a clinical case report

Perrone, C.; Fornaro, G.; De Dominicis, E.

Giornale Italiano di Cardiologia 29(5): 558-561

1999

ISSN/ISBN: 0046-5968
PMID: 10367225
Document Number: 500614
This article reports a case of infective endocarditis in a patient with a permanent pacemaker 15 months after the generator had been replaced. The patient had Staphylococcus epidermidis isolated in several blood cultures. No interventional or clinical procedure with any risk of bacteremia was performed, nor was any infective complication of the pocket observed. Thus, the portal of entry of the etiologic agent is unclear. The role of transesophageal echocardiography in detecting pacemaker-induced endocarditis is very important and therapy of choice involves removal of the pacemaker system as soon as possible.

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