Bacterial endocarditis associated with a permanent transvenous cardiac pacemaker

To our knowledge, the first case of acute bacterial endocarditis in a patient with a permanent pervenous cardiac pacemaker occurred on the mural endocardium of the right atrium along the course of the pacemaker catheter. It is suggested that bacteremia, probably originating from a sacral decubitus ulcer, resulted in implantation of organisms on the damaged atrial endocardium with subsequent septic embolization.