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Pacemaker lead endocarditis with hiccups (Kalayci)

BACKGROUND: Lead-related infections that might develop after pacemaker implantation associated with high mortality and morbidity rates are challenging to manage and pose high-cost. Patients with lead-related infections usually present with fever, chills and fatigue and the treatment can be challengi...

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Autores principales: Kalaycı, Belma, Karabag, Turgut, Erten, Turgay, Akgun, Tunahan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Babol University of Medical Sciences 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6121350/
https://www.ncbi.nlm.nih.gov/pubmed/30197777
http://dx.doi.org/10.22088/cjim.9.3.299
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author Kalaycı, Belma
Karabag, Turgut
Erten, Turgay
Akgun, Tunahan
author_facet Kalaycı, Belma
Karabag, Turgut
Erten, Turgay
Akgun, Tunahan
author_sort Kalaycı, Belma
collection PubMed
description BACKGROUND: Lead-related infections that might develop after pacemaker implantation associated with high mortality and morbidity rates are challenging to manage and pose high-cost. Patients with lead-related infections usually present with fever, chills and fatigue and the treatment can be challenging unless the implant system is extracted. CASE PRESENTATION: A 66-year old male patient who underwent dual chamber pacemaker and implantable cardioverter defibrillator was admitted to the emergency service with a six-week history of complaints of hiccups and fever. After a detailed investigation, lead-related infective endocarditis was the diagnosis. The patient was initiated on antibiotic therapy and lead extraction was performed. CONCLUSIONS: Patients with signs of infection who underwent pacemaker implantation may present with atypical symptoms such as hiccup. In these cases, imaging, particularly echocardiography, should be performed as soon as possible and the localization of the pacemaker leads and signs of infective endocarditis should be investigated.
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spelling pubmed-61213502018-09-07 Pacemaker lead endocarditis with hiccups (Kalayci) Kalaycı, Belma Karabag, Turgut Erten, Turgay Akgun, Tunahan Caspian J Intern Med Case Report BACKGROUND: Lead-related infections that might develop after pacemaker implantation associated with high mortality and morbidity rates are challenging to manage and pose high-cost. Patients with lead-related infections usually present with fever, chills and fatigue and the treatment can be challenging unless the implant system is extracted. CASE PRESENTATION: A 66-year old male patient who underwent dual chamber pacemaker and implantable cardioverter defibrillator was admitted to the emergency service with a six-week history of complaints of hiccups and fever. After a detailed investigation, lead-related infective endocarditis was the diagnosis. The patient was initiated on antibiotic therapy and lead extraction was performed. CONCLUSIONS: Patients with signs of infection who underwent pacemaker implantation may present with atypical symptoms such as hiccup. In these cases, imaging, particularly echocardiography, should be performed as soon as possible and the localization of the pacemaker leads and signs of infective endocarditis should be investigated. Babol University of Medical Sciences 2018 /pmc/articles/PMC6121350/ /pubmed/30197777 http://dx.doi.org/10.22088/cjim.9.3.299 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kalaycı, Belma
Karabag, Turgut
Erten, Turgay
Akgun, Tunahan
Pacemaker lead endocarditis with hiccups (Kalayci)
title Pacemaker lead endocarditis with hiccups (Kalayci)
title_full Pacemaker lead endocarditis with hiccups (Kalayci)
title_fullStr Pacemaker lead endocarditis with hiccups (Kalayci)
title_full_unstemmed Pacemaker lead endocarditis with hiccups (Kalayci)
title_short Pacemaker lead endocarditis with hiccups (Kalayci)
title_sort pacemaker lead endocarditis with hiccups (kalayci)
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6121350/
https://www.ncbi.nlm.nih.gov/pubmed/30197777
http://dx.doi.org/10.22088/cjim.9.3.299
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