Fistula Formation 6 Years after Removal of Infected Pacemaker Leads
نویسندگان
چکیده
We describe a case of a male patient who presented with a chronic ulcer below the left clavicle. Six years before the present admission a permanent pacemaker, including leads, was explanted related to endocarditis. The initial working hypothesis suspected an infected sebaceous gland as the cause of ulceration. After two periods of unsuccessful surgical treatment of the gland, further examination identified a small pacemaker lead fragment underneath the articulation between sternum and clavicle as a possible reason.
منابع مشابه
The Improvement of the Atrial Flutter Rhythm upon the Removal of the Infected Permanent Pacemaker Lead
Pacemaker infection has multiple risk factors. Its presentation is most often similar to infected endocarditis and the diagnosis is made through studying blood cultures. Transesophageal echocardiography can confirm the diagnosis. The most common microorganisms are staphylococcus speciesis. As a matter of fact, complete pacemaker removal appears to be the only definite treatment. We presented a ...
متن کاملInfected Textiloma, 35 Years after the Operation forFemur Fracture, an extermly rare occurance
Retained gauze after surgery is an uncommon error and it may be associated with many complications. We are reporting our case to call attention to the fact that retained gauze may become symptomatic even after a very long interval. Herein we report on a patient who developed infection and fistula with discharge from this error 35 years after a surgery for femur fracture and insertion of a IM ...
متن کاملTracheoesophageal fistula following disc battery ingestion and foreign body impaction
Background: Ingestion of foreign bodies may result in the formation of a tracheoesophageal fistula (TEF), which causes severe morbidity in children. We describe four cases of TEF, who underwent emergent surgery for repair. Case presentation: In this report, we present about four patients aged between 9 months to 2.5 years, who referred due to disc battery ingestion. There were two boys and two ...
متن کامل17-Year-Delayed Fistula Formation After Elective Spinal Instrumentation: A Case Report
INTRODUCTION A late-developing infection after an uneventful initial spinal instrumentation procedure is rare. Delayed infection and new fistula formation have been reported from a few months to 13 years. Here we report an unusual 17-year-delayed fistula formation after primary spinal instrumentation. The patient underwent hardware removal surgery with antibiotic therapy as a definitive treatme...
متن کامل[Successful removal of infected pacemaker leads under extracorporeal circulation in three cases].
We report three cases suffering from endocarditis caused by pacemaker lead infection. Because of the long interval beginning from implantation to surgical removal and the large vegetations on the leads, the entire pacemaker system was removed under extracorporeal circulation (ECC). Postoperative courses were uneventful and none of these patients have shown recurrent infection to date. The total...
متن کامل