Sunbul Mustafa, Demirag Mustafa Kemal, Yilmaz Ozcan, Yilmaz Hava, Ozturk Recep, Leblebicioglu Hakan
Department of Clinical Microbiology and Infectious Diseases, Ondokuz Mayis University, Medical School, Samsun, Turkey.
Pacing Clin Electrophysiol. 2006 May;29(5):543-5. doi: 10.1111/j.1540-8159.2006.00391.x.
Infective endocarditis related to pacemaker is a rare but serious condition in permanent venous tracing. A 65-year-old man was admitted to the hospital with high fever and chills. A DDD pacemaker had been implanted via the right subclavian vein because of sick sinus syndrome 6 years earlier. Transesophageal echocardiogram identified an oscillating round hyperechoic mass with a stalk near the tricuspid valve. Blood cultures grew Staphylococcus hominis. The patient was treated with antibiotics and operated on after the acute phase of the illness had subsided. We hereby report a case of lead endocarditis caused by S. hominis in a patient with pacemaker, which has been rarely reported in the English literature.
与起搏器相关的感染性心内膜炎在永久性静脉起搏中是一种罕见但严重的病症。一名65岁男性因高热和寒战入院。6年前因病态窦房结综合征经右锁骨下静脉植入了DDD起搏器。经食管超声心动图在三尖瓣附近发现一个有蒂的振荡圆形高回声团块。血培养结果为腐生葡萄球菌生长。患者接受了抗生素治疗,并在疾病急性期消退后接受了手术。我们在此报告一例起搏器患者由腐生葡萄球菌引起的导线心内膜炎病例,该病例在英文文献中鲜有报道。