1. Persistent fever after pacemaker lead extraction
- Author
-
Teresa C. A. Ferrari, Nicole de Paula Aarão Faleiro Maia, Túlio Pinho Navarro, Mariana B. L. Carvalho, Maria do Carmo Pereira Nunes, and Ricardo Jayme Procópio
- Subjects
lcsh:Diseases of the circulatory (Cardiovascular) system ,medicine.medical_specialty ,Persistent fever ,Case Report ,Bloodstream infection ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Superior vena cava ,Physiology (medical) ,medicine ,Endocarditis ,Pacing ,cardiovascular diseases ,030212 general & internal medicine ,Fever of unknown origin ,Lead extraction ,business.industry ,medicine.disease ,Surgery ,Foreign body ,lcsh:RC666-701 ,cardiovascular system ,Implant ,Cardiology and Cardiovascular Medicine ,business - Abstract
The implant indication of cardiac electronic devices continues to expand; therefore, we have observed increasing complications related to their removal. We describe the case of a patient who presented with prolonged bloodstream infection after having undergone removal of a pacemaker. After extensive workup for fever of unknown origin and antibiotic therapy without any improvement, it was possible to demonstrate a foreign body in the right subclavian vein and superior vena cava corresponding to the distal part of the right ventricular lead. Endovascular removal of the foreign body and prolonged antibiotic administration was followed by complete resolution of the clinical picture. We ascribed the difficulty in diagnosing the source of the infection especially to the lack of local manifestations.
- Published
- 2016