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Pacemaker lead-related endocarditis with Neisseria sicca
Margaret Locke1, Alexander Smith2, Laurence M Epstein3
1Department of Internal Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York, USA maggielwo@yahoo.com.
BMJ Case Reports
|July 12, 2022
Summary
This case study details a rare pacemaker lead endocarditis caused by Neisseria sicca. Early detection and device extraction led to complete patient recovery.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Device Infections
Background:
- Pacemaker lead endocarditis is an increasingly recognized complication.
- Prompt diagnosis and intervention are crucial for favorable outcomes.
Observation:
- A woman in her 70s presented with recurrent fevers after pacemaker placement.
- Blood cultures identified Neisseria sicca, and echocardiography revealed vegetations on the pacemaker lead.
Findings:
- The patient was diagnosed with Neisseria sicca-associated pacemaker lead endocarditis.
- Complete pacemaker and lead extraction was successfully performed.
Implications:
- This case highlights the importance of considering device infections in patients with pacemakers and fever.
- Earlier identification and treatment of pacemaker lead endocarditis can improve patient prognosis.
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