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Persistent fever after pacemaker lead extraction
The implant indication of cardiac electronic devices continues to expand; therefore, we have observed increasing complications related to their removal. We describe the case of a patient who presented with prolonged bloodstream infection after having undergone removal of a pacemaker. After extensive...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5067839/ https://www.ncbi.nlm.nih.gov/pubmed/27788995 http://dx.doi.org/10.1016/j.ipej.2016.08.006 |
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author | Nunes, Maria Carmo Pereira Navarro, Túlio Pinho Carvalho, Mariana de Braga Lima Maia, Nicole de Paula Aarão Faleiro Procópio, Ricardo Jayme Ferrari, Teresa Cristina Abreu |
author_facet | Nunes, Maria Carmo Pereira Navarro, Túlio Pinho Carvalho, Mariana de Braga Lima Maia, Nicole de Paula Aarão Faleiro Procópio, Ricardo Jayme Ferrari, Teresa Cristina Abreu |
author_sort | Nunes, Maria Carmo Pereira |
collection | PubMed |
description | The implant indication of cardiac electronic devices continues to expand; therefore, we have observed increasing complications related to their removal. We describe the case of a patient who presented with prolonged bloodstream infection after having undergone removal of a pacemaker. After extensive workup for fever of unknown origin and antibiotic therapy without any improvement, it was possible to demonstrate a foreign body in the right subclavian vein and superior vena cava corresponding to the distal part of the right ventricular lead. Endovascular removal of the foreign body and prolonged antibiotic administration was followed by complete resolution of the clinical picture. We ascribed the difficulty in diagnosing the source of the infection especially to the lack of local manifestations. |
format | Online Article Text |
id | pubmed-5067839 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-50678392016-10-21 Persistent fever after pacemaker lead extraction Nunes, Maria Carmo Pereira Navarro, Túlio Pinho Carvalho, Mariana de Braga Lima Maia, Nicole de Paula Aarão Faleiro Procópio, Ricardo Jayme Ferrari, Teresa Cristina Abreu Indian Pacing Electrophysiol J Case Report The implant indication of cardiac electronic devices continues to expand; therefore, we have observed increasing complications related to their removal. We describe the case of a patient who presented with prolonged bloodstream infection after having undergone removal of a pacemaker. After extensive workup for fever of unknown origin and antibiotic therapy without any improvement, it was possible to demonstrate a foreign body in the right subclavian vein and superior vena cava corresponding to the distal part of the right ventricular lead. Endovascular removal of the foreign body and prolonged antibiotic administration was followed by complete resolution of the clinical picture. We ascribed the difficulty in diagnosing the source of the infection especially to the lack of local manifestations. Elsevier 2016-08-20 /pmc/articles/PMC5067839/ /pubmed/27788995 http://dx.doi.org/10.1016/j.ipej.2016.08.006 Text en Copyright © 2016, Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Nunes, Maria Carmo Pereira Navarro, Túlio Pinho Carvalho, Mariana de Braga Lima Maia, Nicole de Paula Aarão Faleiro Procópio, Ricardo Jayme Ferrari, Teresa Cristina Abreu Persistent fever after pacemaker lead extraction |
title | Persistent fever after pacemaker lead extraction |
title_full | Persistent fever after pacemaker lead extraction |
title_fullStr | Persistent fever after pacemaker lead extraction |
title_full_unstemmed | Persistent fever after pacemaker lead extraction |
title_short | Persistent fever after pacemaker lead extraction |
title_sort | persistent fever after pacemaker lead extraction |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5067839/ https://www.ncbi.nlm.nih.gov/pubmed/27788995 http://dx.doi.org/10.1016/j.ipej.2016.08.006 |
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