Department of Cardiology, Medical University of Lublin, Poland.
Kardiol Pol. 2011;69(5):502-4.
We report a typical case of lead-dependent infective endocarditis in an 84 year-old patient, occurring two years after pacemaker implantation. Before the correct diagnosis was reached, the patient was repeatedly hospitalised in several centres due to fever of unknown origin. Eventually, the diagnosis was confirmed when the patient was referred for transoesophageal echocardiography by a consulting cardiologist from the pacemaker implantation centre. The successful treatment included the removal of the whole pacing system with endocardial leads and adequate antibiotic therapy.
我们报告了一例典型的 84 岁患者因起搏器植入后两年发生的依赖铅的感染性心内膜炎。在明确诊断之前，该患者因不明原因发热在多家中心反复住院。最终，当起搏器植入中心的咨询心脏病专家建议行经食管超声心动图检查时，该患者被确诊。成功的治疗包括取出整个起搏系统和心内膜导线，并给予适当的抗生素治疗。
