and : Two Case Stories with Infective Episodes in Pacemaker Treated Patients.

INTRODUCTION

and are well known, though rare, etiologic agents of infective endocarditis. Cardiac devices are increasingly implanted.

CASE REPORTS

Two cases of infective episodes in pacemaker (PM) treated patients with respectively and are presented. In one case blood-culture bottles yielded growth of at two episodes with two years apart. At the second episode a vegetation was recognized at the PM lead and the PM device and lead was removed. In the case, echocardiography revealed a bicuspid aortic valve with severe regurgitation and a more than 1 cm sized vegetation.

CONCLUSION

The cases illustrate the diversity in disease severity by Careful follow up has to be performed in order not to overlook a relatively silent relapsing infection.