Infective endocarditis in patients with permanent pacemaker

Five patients who had permanent pacemaker and infective endocarditis were analyzed. Diagnose was confirmed by a positive blood cultures in all patients and 2 of them had identifiable vegetation in the echocardiogram too. The etiologic agent was Staphylococcus aureus in 3, Staphylococcus epidermidis...

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Veröffentlicht in:Arquivos brasileiros de cardiologia 1994-04, Vol.62 (4), p.243-246
Hauptverfasser: Jorge, S do C, Kormann, D D, Medeiros, P, Mateos, J C, Zamorano, M M, Silva, L M, Zambonini, M N, Arnoni, A S, Assef, J E, Magalhães, H M
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container_issue 4
container_start_page 243
container_title Arquivos brasileiros de cardiologia
container_volume 62
creator Jorge, S do C
Kormann, D D
Medeiros, P
Mateos, J C
Zamorano, M M
Silva, L M
Zambonini, M N
Arnoni, A S
Assef, J E
Magalhães, H M
description Five patients who had permanent pacemaker and infective endocarditis were analyzed. Diagnose was confirmed by a positive blood cultures in all patients and 2 of them had identifiable vegetation in the echocardiogram too. The etiologic agent was Staphylococcus aureus in 3, Staphylococcus epidermidis in 1 and Staphylococcus viridans in 1. Three patients were treated with antibiotics alone: one had no clinical conditions to be operated, one died before surgery and one had good response to antimicrobial therapy alone. Two patients were submitted to antibiotic therapy and surgical removal of the pacemaker system, without complications. It was concluded that the surgical removal of the pacemaker system, as soon as possible, is the choice's therapy.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Echocardiography
Endocarditis, Bacterial - diagnosis
Endocarditis, Bacterial - microbiology
Endocarditis, Bacterial - therapy
Female
Humans
Male
Middle Aged
Staphylococcal Infections - diagnosis
Staphylococcal Infections - microbiology
Staphylococcal Infections - therapy
Staphylococcus aureus
Staphylococcus epidermidis
Streptococcal Infections - diagnosis
Streptococcal Infections - microbiology
Streptococcal Infections - therapy
Streptococcus
title Infective endocarditis in patients with permanent pacemaker
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