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KMID : 0882420130840030418
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Korean Journal of Medicine
2013 Volume.84 No. 3 p.418 ~ p.422
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Cardiac Resynchronization Therapy-Defibrillator Pocket Infection Due to Non-Typhoidal Salmonella Infection
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Lee Dong-Jun
Lee Seung-Hyun
Han Jae-Hyun
Lee Seung-Jun
Pak Hui-Nam
Lee Moon-Hyoung
Joung Bo-Young
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Abstract
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Non-typhoidal salmonella is rarely the cause of pacemaker infection. A 68-year-old man was referred to our hospital with tenderness and swelling at his cardiac resynchronization therapy defibrillator (CRT-D) implantation site. He had undergone CRT-D implantation because of sustained ventricular tachycardia and heart failure 7 years earlier, and the generator had been changed 2 months earlier. Twenty-four years earlier, he had undergone aortic valve replacement and mitral valve repair. We removed the generator and all of the CRT-D leads. After lead extraction, non-typhoidal salmonella serogroup B was cultured at the pocket and lead tip. The patient was managed successfully with lead extraction and antibiotic therapy.
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KEYWORD
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Cardiac resynchronization therapy device, Infection, Salmonella, Lead extraction
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