Pacemaker Leads Causes Infective Endocarditis
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Case description
Insertion of a permanent pacemaker is a routine procedure in most community hospitals to maintain an adequate heart rate, either because the heart's natural pacemaker is not fast enough, or because there is a block in the heart's electrical conduction system. In patients with implanted cardiac pacemakers, the most common entry port for bacteria into the bloodstream is the subcutaneously located generator pocket. Microbic extension along the pacemaker lead is the usual explanation for the infection's confinement. The optimal management of pacemaker endocarditis requires immediate surgical removal of the entire pacing system accompanied by administration of antibiotics.
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