Aspergillus infection of implantable cardioverter-defibrillator.

Abstract:

:The use of pacemakers and implantable cardioverter-defibrillators continues to increase for the management of cardiac dysrhythmias and, more recently, heart failure. Long-term complications associated with their use include infection, lead failure, and spurious shocks. Although the risk of infection with intracardiac devices is well known, the clinical presentation of this complication can be insidious, delayed in onset, and difficult to diagnose. We report a case of Aspergillus fumigatus infection of an implantable cardioverter-defibrillator with right-sided endocarditis in a 55-year-old man. The infection presented as persistent pulmonary infiltrates (due to recurrent septic pulmonary embolism) and anemia more than 2 years after implantation of the device. Clinicians should be aware of the variable manifestations resulting from infection of intracardiac devices.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Cook RJ,Orszulak TA,Nkomo VT,Shuford JA,Edwards WD,Ryu JH

doi

10.4065/79.4.549

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

549-52

issue

4

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)62772-9

journal_volume

79

pub_type

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