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Translational Rabbit Model of Chronic Cardiac Pacing

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Enterococcus septicemia due to a pacemaker lead infection.

Steffen Lamparter¹, Stefan Waldhans

¹Diakonie-Krankenhaus Marburg, Department of Internal Medicine, Hebronberg, Marburg-Wehrda, Germany. Dr.S.Lamparter@dkh-wehrda.de

Journal of Cardiovascular Medicine (Hagerstown, Md.)

|August 30, 2012

Summary

Pacemaker lead infections, though rare, pose serious risks. This case highlights Enterococcus faecalis as a cause of infection in an elderly patient with complete heart block.

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Area of Science:

Cardiology
Infectious Diseases
Medical Device Infections

Background:

Pacemaker lead infections are uncommon but serious complications.
Complete heart block necessitates pacemaker dependency.

Observation:

An 80-year-old female patient, pacemaker-dependent due to complete heart block, presented with unexplained subfebrile temperatures and chills.
Initial symptoms suggested a systemic infection.

Findings:

Diagnostic workup revealed a pacemaker lead infection.
Cultures identified Enterococcus faecalis as the causative pathogen.
The infection was linked to the presence of the pacemaker lead.

Implications:

This case underscores the importance of considering device-related infections in pacemaker-dependent patients presenting with systemic symptoms.
Prompt diagnosis and appropriate antibiotic treatment are crucial for managing Enterococcus faecalis pacemaker lead infections.
Highlights the need for vigilance regarding rare but severe complications of cardiac electronic devices.