Candida Albicans Pacemaker Site Infection |
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| Authors: | TODD J. COHEN VINCENT G. PONS JANICE SCHWARTZ JERRY C. GRIFFIN |
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| Affiliation: | Department of Medicine and the Cardiovascular Research Institute, University of California, San Francisco, California |
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| Abstract: | 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. |
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| Keywords: | pacemaker infection Candida albicans pacemaker complication |
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