Five
patients who had permanent pacemaker and
infective endocarditis were analyzed.
Diagnose was confirmed by a positive
blood cultures in all
patients and 2 of them had identifiable vegetation in the echocardiogram too. The etiologic agent was
Staphylococcus aureus in 3,
Staphylococcus epidermidis in 1 and
Staphylococcus viridans in 1. Three
patients were treated with
antibiotics alone one had no clinical conditions to be operated, one died before
surgery and one had good response to antimicrobial
therapy alone. Two
patients were submitted to
antibiotic therapy and surgical removal of the pacemaker system, without
complications. It was concluded that the surgical removal of the pacemaker system, as soon as possible, is the choice's
therapy