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Case Reports
. 2015 Mar 6;2015(3):222-5.
doi: 10.1093/omcr/omv014. eCollection 2015 Mar.

Cardiac device-associated lead infection: a diagnosis not to be missed

Malcolm Marquette  1 , Sanjay Budhdeo  2 , Vivek Rajagopal  3 , Mirela Marinescu  3
Affiliations
Case Reports

Cardiac device-associated lead infection: a diagnosis not to be missed

Malcolm Marquette et al. Oxf Med Case Reports. .

Abstract

A 66-year-old gentleman was admitted to hospital with a history of general malaise for 5 months. His symptoms worsened 2 weeks prior to presentation. He experienced swinging pyrexia, night sweats and shortness of breath on exertion. Initial evaluation did not reveal any source of infection. Subsequent investigation revealed infection with vegetation affecting the intra-cardiac leads of cardiac resynchronization therapy device (CRT-D). The patient was treated with prolonged intravenous antibiotics and removal of the device and indwelling leads. The patient made a full recovery and a new device was implanted.

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Figures

Figure 1:
Figure 1:
(a–d) Transoesophageal echocardiogram images which show a hypoechogenic linear structure which represents the vegetation and not a loop of the pacemaker lead, which would be hyperechogenic. The vegetation is attached to the atrial segment of the pacemaker lead and is distant from other heart structures. The vegetation is indicated with an arrow in (c) and is labelled in (d).
See this image and copyright information in PMC

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