Infections of Cardiovascular Implantable Electronic Devices

被引:100
作者
Baddour, Larry M. [1 ]
Cha, Yong-Mei [2 ]
Wilson, Walter R. [1 ]
机构
[1] Mayo Clin, Coll Med, Dept Med, Div Infect Dis, Rochester, MN 55905 USA
[2] Mayo Clin, Coll Med, Dept Med, Div Cardiovasc Dis, Rochester, MN 55905 USA
关键词
CARDIOVERTER-DEFIBRILLATOR INFECTION; STAPHYLOCOCCUS-AUREUS BACTEREMIA; PERMANENT PACEMAKER IMPLANTATION; RISK-FACTORS; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; LEAD EXTRACTION; UNITED-STATES; ANTIBIOTIC-PROPHYLAXIS; MEDICARE BENEFICIARIES; ENDOCARDIAL PACEMAKER;
D O I
10.1056/NEJMcp1107675
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
A 75-year-old man presents with localized pain, redness, and swelling of 3 weeks' duration at the pocket site in the left upper shoulder, where an implantable cardioverter-defibrillator was placed 6 months earlier. He has no fever or other systemic symptoms. Physical examination reveals redness and induration at the site of the generator pocket on the left shoulder, with no stigmata of infective endocarditis. Results of blood cultures are negative. How should this case be managed?
引用
收藏
页码:842 / 849
页数:8
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