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Related Experiment Videos

Sepsis and pacemaker malfunction

C Lyons

    Archives of Internal Medicine
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    A rare case of sepsis in an elderly man revealed a perforated pacemaker electrode, likely due to bacterial endocarditis. This highlights the importance of considering device complications in atypical presentations.

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    Area of Science:

    • Cardiology
    • Infectious Diseases
    • Geriatric Medicine

    Background:

    • Elderly patients with sepsis can present atypically.
    • Permanent cardiac pacemakers are common in elderly patients.
    • Bacterial endocarditis is a known complication of indwelling devices.

    Observation:

    • An elderly male presented with sepsis and a nonfunctioning permanent cardiac pacemaker.
    • Clinical signs of acute abdomen and laboratory results suggested acute cholecystitis.
    • The initial diagnosis did not account for the pacemaker's role.

    Findings:

    • The permanent pacemaker electrode had perforated the myocardium.
    • Bacterial endocarditis at the pacemaker electrode tip was identified as the likely cause.
    • This led to an unconventional presentation of sepsis.

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    Implications:

    • This case underscores the need to consider pacemaker complications in sepsis evaluations.
    • Early recognition of device-related infections is crucial for appropriate management.
    • Therapeutic strategies must address both sepsis and the cardiac device issue.