Persistent fever after pacemaker lead extraction

• Autor(a) principal: Maria Carmo Pereira Nunes
• Data de Publicação: 2016
• Outros Autores: Túlio Pinho Navarro, Mariana de Braga Lima Carvalho Canesso, Nicole de Paula Aarão Faleiro Maia, Ricardo Jayme Procópio, Teresa Cristina Abreu Ferrari
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.1016/j.ipej.2016.08.006; http://hdl.handle.net/1843/57107; https://orcid.org/0000-0001-8134-5825
• topic: Pacemaker; Surgery; Fever; Febre; Cirurgia

The implant indication of cardiac electronic devices continues to expand; therefore, we have observed increasing complications related to their removal. We describe the case of a patient who presented with prolonged bloodstream infection after having undergone removal of a pacemaker. After extensive workup for fever of unknown origin and antibiotic therapy without any improvement, it was possible to demonstrate a foreign body in the right subclavian vein and superior vena cava corresponding to the distal part of the right ventricular lead. Endovascular removal of the foreign body and prolonged antibiotic administration was followed by complete resolution of the clinical picture. We ascribed the difficulty in diagnosing the source of the infection especially to the lack of local manifestations.