Key result
Permanent pacemaker implantation can be complicated by potentially fatal serositis presenting weeks after insertion, requiring a high index of suspicion for prompt diagnosis.
Case Report (n=1)
Serositis should be considered in the differential diagnosis of patients presenting with chest pain, fever, or fatigue following recent permanent pacemaker implantation.
Supports considering serositis in post-pacemaker symptom differentials; hypothesis-generating from single Level 5 case.
We describe a rare case of serositis complicating permanent pacemaker implantation presenting 4 weeks postinsertion. A high index of suspicion for this potentially fatal complication is warranted to enable prompt diagnosis and treatment. Serositis should be considered in the differential diagnosis of a patient presenting with chest pain, fever or fatigue following recent permanent pacemaker implantation, particularly if there are elevated inflammatory markers.
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Hayes et al. (2024) conducted a case report in Serositis post-pacemaker implantation (n=1). Permanent pacemaker implantation was evaluated on Serositis. Permanent pacemaker implantation can be complicated by potentially fatal serositis presenting weeks after insertion, requiring a high index of suspicion for prompt diagnosis.
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