[Infective endocarditis on probe of pacemaker]
Tunisie Medicale [La]. 2009; 87 (9): 610-615
em Francês
| IMEMR
| ID: emr-134795
ABSTRACT
Infective endocarditis is an uncommon but potentially lethal complication of permanent cardiac pacing. Infection is mainly caused by local contamination during the implantation procedure. The most frequently detected causative microorganisms were staphylococci. The clinical presentation is often atypical causing prolonged diagnostic delay. Bacteriological data and visualisation of neostructures consistent with vegetations on transoesophageal echocardiography, strongly suggest pacemaker lead infection. Management is based on a combined approach using both prolonged antibiotic treatment and early complete device explantation. Percutaneous techniques are currently the method of choice for lead extraction but it is not without possible complications. Antibiotic prophylaxis in order to reduce infection risk related to pacemaker implantation is widely recommended
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Marca-Passo Artificial
/
Infecções Estafilocócicas
/
Staphylococcus aureus
/
Ecocardiografia
/
Contaminação de Equipamentos
/
Endocardite Bacteriana
Limite:
Humanos
Idioma:
Francês
Revista:
Tunisie Med.
Ano de publicação:
2009
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