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Updated: Apr 22, 2026

Translational Rabbit Model of Chronic Cardiac Pacing
Published on: January 6, 2023
How sweet is the pacemaker?
I Merinopoulos1, S O'Toole, J N Porter
1I Merinopoulos, Department of Cardiology, Papworth Hospital, Cambridge CB23 3RE, UK. Email ioannis.merinopoulos@doctors.org.uk.
Abstract:
Pacemaker infections can be difficult to diagnose, especially when they present with non-specific symptoms and signs a long time after insertion of the device. Unidentified or partially treated low-grade chronic sepsis can result in multisystem disease processes with significant mortality and morbidity. Therefore, a high index of suspicion is required to identify the pacemaker as the source of sepsis and treat it effectively. This report describes a case of chronic pacemaker wire infection, which eventually presented with Sweet's syndrome, a rare manifestation of infective endocarditis.
Insights
Diagnosing pacemaker infections is challenging due to vague symptoms. This case highlights chronic pacemaker wire infection presenting as Sweet's syndrome, a rare sign of infective endocarditis.
Area of Science:
- Cardiology
- Infectious Diseases
- Dermatology
Background:
- Pacemaker infections pose diagnostic challenges, often presenting with non-specific symptoms long after device implantation.
- Chronic, low-grade sepsis from undetected pacemaker infections can lead to severe multisystem disease, increasing mortality and morbidity.
Observation:
- This report details a case of chronic pacemaker wire infection.
- The infection eventually manifested as Sweet's syndrome, an uncommon presentation.
Findings:
- Sweet's syndrome is a rare but significant manifestation of infective endocarditis.
- Identifying the pacemaker as the source of sepsis is crucial for effective treatment.
Implications:
- A high index of suspicion is necessary for diagnosing pacemaker-related sepsis.
- Early identification and treatment of pacemaker infections can prevent severe systemic complications and improve patient outcomes.
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