Korean J Med.  2013 Mar;84(3):418-422. 10.3904/kjm.2013.84.3.418.

Cardiac Resynchronization Therapy-Defibrillator Pocket Infection Due to Non-Typhoidal Salmonella Infection

• Lee DJ
• Lee SH
• Han JH
• Lee SJ
• Pak HN
• Lee MH
• Joung B

• KMID: 1833854
• DOI: http://doi.org/10.3904/kjm.2013.84.3.418

Abstract

Non-typhoidal salmonella is rarely the cause of pacemaker infection. A 68-year-old man was referred to our hospital with tenderness and swelling at his cardiac resynchronization therapy defibrillator (CRT-D) implantation site. He had undergone CRT-D implantation because of sustained ventricular tachycardia and heart failure 7 years earlier, and the generator had been changed 2 months earlier. Twenty-four years earlier, he had undergone aortic valve replacement and mitral valve repair. We removed the generator and all of the CRT-D leads. After lead extraction, non-typhoidal salmonella serogroup B was cultured at the pocket and lead tip. The patient was managed successfully with lead extraction and antibiotic therapy.

Keyword

Cardiac resynchronization therapy device; Infection; Salmonella; Lead extraction

MeSH Terms

Aortic Valve
Cardiac Resynchronization Therapy
Defibrillators
Heart Failure
Humans
Mitral Valve
Salmonella
Salmonella Infections
Tachycardia, Ventricular