Why the study?
The report highlights rare complications of ICD implantation and aims to guide the clinical course and management of fungal ball device infections.
Highlights a rare complication of ICD implantation (fungal ball) and its successful management with explantation and antifungal therapy.
Successful ICD fungal ball management with explantation and fluconazole; extends sparse case reports but leaves optimal protocols open.
Cardiac Implantable Electronic Device (CIED) includes pacemakers and implantable cardioverter defibrillators (ICD). The device infection is classified into pocket and systemic infection. We present a case of candida fungemia secondary to dissemination from the fungal ball found on an ICD. Patient was successfully managed with IV fluconazole, ICD explantation and reimplantation. The purpose of this report is to highlight rare complications of ICD implantation and guide its clinical course and management.
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Rauf et al. (2020) studied this question.
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