Is pruritus over the pacemaker pocket may be a sign of a serious complication?

We describe a case of an early pacemaker pocket infection in a male patient within one year of insertion of a subcutaneous dual chamber rate-adaptive pacemaker and complaining of only pruritus during infection. We also summarize other complications related to the generator that must be considered in the differential diagnosis of pocket infections. Pruritus in patients with cardiac implantable electronic devices should be taken seriously and these patients should be closely monitored for serious complications