Dunn C J, Ruder M, Deresinski S C
Department of Medicine, Sequoia Hospital, Redwood City, California, USA.
Pacing Clin Electrophysiol. 1996 Dec;19(12 Pt 1):2156-7. doi: 10.1111/j.1540-8159.1996.tb03294.x.
We report a patient without immune compromise with infection of an automatic internal cardiac defibrillator patch due to Aspergillus fumigatus presenting 8 years after implantation. The mechanism of infection was unknown, but symptoms began 1 month after laser uvulopalatopharyngoplasty was performed for sleep apnea. The patches were surgically removed and the patient was treated sequentially with amphotericin B and itraconazole. He remains without evidence of infection 12 months after the completion of therapy.
我们报告了一例无免疫功能低下的患者，其植入自动体内心脏除颤器贴片8年后因烟曲霉感染。感染机制不明，但在因睡眠呼吸暂停接受激光悬雍垂腭咽成形术后1个月出现症状。贴片通过手术取出，患者先后接受了两性霉素B和伊曲康唑治疗。治疗结束12个月后，他仍无感染迹象。
