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An unusual case of disseminated intravascular coagulation
Author(s) -
Dmitri Pchejetski,
Mojiba Kenbaz,
Heba Alshaker,
Dharmesh Rajput,
Kiruparajan Jesudason
Publication year - 2017
Publication title -
oxford medical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.169
H-Index - 9
ISSN - 2053-8855
DOI - 10.1093/omcr/omx009
Subject(s) - infective endocarditis , medicine , disseminated intravascular coagulation , emergency department , endocarditis , immunosuppression , heart failure , malignancy , sepsis , diabetes mellitus , surgery , cardiology , psychiatry , endocrinology
The use of cardiac pacemakers is increasing worldwide. Infective endocarditis from a pacemaker lead is a rare, but one of the most severe complications of pacemaker insertion. The diagnosis of pacemaker-related infective endocarditis is usually delayed due to unspecific clinical signs and symptoms at presentation compared to native valve infective endocarditis. Several factors can increase the risk of cardiac pacemaker-related infective endocarditis including cachexia, malignancy, diabetes mellitus, immunosuppression and corticosteroid treatment. This case report is about a 70-year-old diabetic male who presented to the emergency department with disseminated intravascular coagulation (DIC), cardiac and liver failure. He was diagnosed with pacemaker infective endocarditis, which was ultimately fatal

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