Filali Thouraya, Fehri Wafa, Ben Moussa Mohamed, Chriaa Sami, Barakett Nadia, Gommidh Mehdi, Lahidheb Dhaker, Salah Othmen, Hajlaoui Nadhem, Saaidi Imène, Haggui Abdedayem, Smiri Zahreddine, Haouala Habib
Service de Cardiologie, Hôpital Militaire de Tunis.
Tunis Med. 2009 Sep;87(9):610-5.
Infective endocarditis is an uncommon but potentially lethal complication of permanent cardiac pacing. Infection is mainly caused by local contamination during the implantation procedure. The most frequently detected causative microorganisms were staphylococci. The clinical presentation is often atypical causing prolonged diagnostic delay. Bacteriological data and visualisation of neostructures consistent with vegetations on transoesophageal echocardiography, strongly suggest pacemaker lead infection. Management is based on a combined approach using both prolonged antibiotic treatment and early complete device explantation. Percutaneous techniques are currently the method of choice for lead extraction but it is not without possible complications. Antibiotic prophylaxis in order to reduce infection risk related to pacemaker implantation is widely recommended.
感染性心内膜炎是永久性心脏起搏一种罕见但可能致命的并发症。感染主要由植入过程中的局部污染引起。最常检测到的致病微生物是葡萄球菌。临床表现往往不典型，导致诊断延迟延长。细菌学数据以及经食管超声心动图上与赘生物一致的新结构可视化，强烈提示起搏器导线感染。治疗基于延长抗生素治疗和早期完全取出装置的联合方法。经皮技术目前是导线拔除的首选方法，但并非没有可能的并发症。广泛推荐使用抗生素预防措施以降低与起搏器植入相关的感染风险。
