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Candida Albicans Pacemaker Site Infection
Author(s) -
COHEN TODD J.,
PONS VINCENT G.,
SCHWARTZ JANICE,
GRIFFIN JERRY C.
Publication year - 1991
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1991.tb05081.x
Subject(s) - medicine , candida albicans , sick sinus syndrome , cardiac pacemaker , heart block , permanent pacemaker , surgery , electrocardiography , microbiology and biotechnology , biology
A 69‐year‐old man with a history of diabetes and episodic lymphocytopenia underwent pacemaker implantation for complete heart block. Despite prophylactic antibiotics, pocket irrigation, and strict sterile technique, a fungal (Candida albi‐cans) pacemaker site infection developed that required pacemaker explantation and systemic ampho‐tericin B therapy. After 3 days of temporary pacing, a second pulse generator was implanted on the opposite side. At 2‐year follow‐up, he has had no recurrence of pacemaker infection. This report underscores the predilection of diabetics for infections, and in particular, their susceptibility to Candida albicans.