Key result
Use of an antibacterial envelope during a CIED procedure resulted in an allergic inflammatory response causing recurrent wound dehiscence that masqueraded as a pocket infection.
Why the study?
Absorbable antibacterial envelopes mitigate CIED infection risk, but symptoms resembling pocket infection may stem from noninfectious etiologies such as an allergic reaction.
Case Report (n=1)
Symptoms concerning for CIED pocket infection when using antibacterial envelopes may actually represent an allergic reaction, particularly in low-risk scenarios.
Answers are grounded in this paper and cite their sources.
May represent allergic reaction to antibacterial envelope rather than pocket infection; hypothesis-generating for low-risk CIED patients.
Absorbable antibacterial envelopes mitigate the risk of infection during repeat cardiac implantable electronic device (CIED) procedures.1 Although infections may still occur, symptoms concerning for pocket infection with use of these envelopes, particularly in low-risk scenarios, should raise suspicion for noninfectious etiologies such as an allergic reaction. We present a case of recurrent wound dehiscence secondary to an inflammatory response to the antibacterial envelope.
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Vigdor et al. (2023) conducted a case report in Recurrent wound dehiscence / allergic reaction to antibacterial envelope (n=1). Antibacterial envelope was evaluated. Use of an antibacterial envelope during a CIED procedure resulted in an allergic inflammatory response causing recurrent wound dehiscence that masqueraded as a pocket infection.
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