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Gepubliceerd in: Netherlands Heart Journal 3/2014

01-03-2014 | Imaging in Cardiology

Bacterial endocarditis with septic pulmonary embolism due to pacemaker lead infection

Auteurs: W. B. Prins, A. Yilmaz, P. G. Noordzij

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2014

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Excerpt

A 69-year-old man, with a history of myocardial infarction and implantation of a permanent pacemaker because of sinus arrest, presented with periodic shortness of breath and fever. Laboratory evaluation showed an elevated C-reactive protein level and leucocytosis, but blood cultures were negative. Because computerised tomography (CT) of the thorax revealed bilateral pulmonary emboli and abdominal ultrasound was suspect for cholecystitis, the correct diagnosis and treatment were delayed. Additional transthoracic echocardiography (TTE), however, revealed a large mobile right atrial mass attached to the pacemaker lead suspect of vegetation (Fig.  1a) causing right-sided endocarditis.
Literatuur
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Metagegevens
Titel
Bacterial endocarditis with septic pulmonary embolism due to pacemaker lead infection
Auteurs
W. B. Prins
A. Yilmaz
P. G. Noordzij
Publicatiedatum
01-03-2014
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2014
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-012-0271-0