engleski

Atypical presentation of a permanent pacemaker lead thrombosis – a case report

Pacemaker related infective endocarditis (PMIE) and pacemaker lead thrombosis (PMLT) are an infrequent but potentially lethal complication of pacemaker (PM) therapy. Differences in clinical presentation, echocardiographic appearance and laboratory findings are usually helpful in their distinguishing with satisfactory confidence. On the other hand, atypical clinical and echocardiography findings may complicate their differentiation and result in therapeutic dilemma. We present a 70-year-old man with permanent PM hospitalized because of a 7-day fever and weakness. An elevated inflammatory parameters and atypical echocardiography presentation resulted in diagnostic dilemma between PMIE and PMLT. In the presented paper, pathogenesis of those entities, their clinical presentation and therapy was discussed.

Echocardiography; Endocarditis; Pacemaker; Lead; thrombosis

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