Severe pacemaker pocket infection during the COVID-19 pandemic, transvenous lead removal.
J Infect Dev Ctries
; 15(9): 1277-1280, 2021 09 30.
Article
in English
| MEDLINE | ID: covidwho-1478148
ABSTRACT
INTRODUCTION:
The estimated infection rate after permanent endocardial lead implantation is between 1% and 2%. Pacemaker lead endocarditis is treated with total removal of the infected device and proper antibiotics. In this case report, we present a patient with delayed diagnosis and treatment due to the COVID-19 outbreak. CASE REPORT An 88-year-old, pacemaker dependent woman with diagnosed pacemaker pocket infection was admitted to the University Cardiovascular institute. The patient had a prolonged follow-up time due to the COVID-19 outbreak. She missed her routine checkup and came to her local hospital when the generator had already protruded completely, to the point where she held it in her own hand. Transthoracic echocardiogram showed possible vegetations on the lead. Transesophageal echocardiography was not performed due to the COVID-19 pandemic. On the day after the admission the patient underwent transvenous removal of the pacemaker lead using a 9 French gauge rotational extraction sheathe (Cook Medical). The extracted lead was covered in a thin layer of vegetations. Further follow-ups showed good recovery with no complications.CONCLUSIONS:
A case showing delayed treatment of pacemaker pocket infection, due to delayed follow-up time during the COVID-19 pandemic. This patient underwent successful transvenous removal of the infected pacemaker lead, along with adequate antibiotic therapy, which has proven to be the most effective method of treating cardiac device-related endocarditis.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pacemaker, Artificial
/
Prosthesis-Related Infections
/
Device Removal
Type of study:
Case report
/
Cohort study
/
Diagnostic study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
J Infect Dev Ctries
Journal subject:
Communicable Diseases
Year:
2021
Document Type:
Article
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