Key result
Combined antibiotic therapy cures pacemaker endocarditis without device removal in a single case report.
Why the study?
Endocarditis associated with transvenous pacemaker electrodes is rare but poses a serious therapeutic dilemma due to difficulty eradicating infection without device removal, which may require major surgery.
Population
A 59-year-old man with endocarditis and two transvenous pacemaker electrodes
Comparison
Combined antibiotic therapy without removal of pacemaker electrodes
Design
Case report
Authors
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May support antibiotic-only management of pacemaker endocarditis in select cases; leaves open need for prospective trials.
Case Report (n=1)
No
This case report demonstrates that in select cases, pacemaker-associated endocarditis may be successfully treated with combined antibiotic therapy without requiring surgical removal of the electrodes.
Nicholas H. Zeller (1975) conducted a case report in Endocarditis associated with a pacemaker (n=1). Combined antibiotic therapy without removal of electrodes was evaluated on Cure of endocarditis. Combined antibiotic therapy achieved an apparent cure of endocarditis in a patient with two transvenous pacemaker electrodes without requiring their removal.
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