Wożakowska-Kapłon Beata, Wesołowska Kamilla, Kutarski Andrzej
I Kliniczny Oddział Kardiologii, Świętokrzyskie Centrum Kardiologii, Wojewódzki Szpital Zespolony, Kielce.
Kardiol Pol. 2011;69(3):265-9; discussion 274.
The incidence of late complications following pacemaker implantation is low, mainly caused by erosion and infection. We report a case of febrile 62 year-old male, with a history of dual chamber permanent pacemaker implantation 3 years before admission to hospital. The microbiological results revealed Stapylococcus aureus, without local signs of infection and with normal echocardiographic examination. Cardiac device-related infective endocarditis was diagnosed, the patient was treated by prolonged (6 weeks) combinated intravenous antibiotic therapy and device removal. A new device implantation was performed weeks later.
起搏器植入术后晚期并发症的发生率较低，主要由侵蚀和感染引起。我们报告一例62岁发热男性病例，该患者在入院前3年有双腔永久起搏器植入史。微生物学检查结果显示为金黄色葡萄球菌，无局部感染迹象且超声心动图检查正常。诊断为心脏器械相关感染性心内膜炎，患者接受了为期6周的延长静脉联合抗生素治疗并移除了器械。数周后进行了新的器械植入。
