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Fever and neck pain after pacemaker lead extraction: A case report
Shao-Xian Wang1, Jian Bai2, Rui Ma2
1Department of Cardiology, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing 210008, Jiangsu Province, China.
World Journal of Clinical Cases
|August 20, 2019
Summary
Pacemaker lead extraction can cause venous thrombosis (VT), a complication often misdiagnosed. Consider thrombosis in patients with post-extraction pain and fever.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Venous thrombosis (VT) is a known complication of pacemaker lead extraction.
- Clinical presentation can be subtle, leading to delayed diagnosis.
Observation:
- A 66-year-old woman presented with fever and migratory pain post-pacemaker lead extraction.
- Symptoms were initially misattributed to surgical trauma.
- Imaging confirmed deep venous thrombosis and thrombophlebitis.
Findings:
- Deep venous thrombosis developed after transvenous lead extraction.
- Thrombophlebitis presented as fever and migratory pain, mimicking other conditions.
- Early diagnosis and anticoagulation are crucial.
Implications:
- Clinicians should consider venous thrombosis in patients experiencing unexplained pain and fever after pacemaker lead extraction.
- Prompt diagnostic workup, including imaging, is essential.
- Anticoagulant therapy can effectively manage this complication.
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