CLOSED CAPSULE GENTAMICIN LAVAGE AS A SUCCESSFUL UNUSUAL THERAPY FOR PACEMAKER POCKET ABSCESS: A CASE REPORT
Journal Title: Acta HealthMedica - Year 2016, Vol 1, Issue 2
Abstract
Introduction: Standard treatment for pacemaker pocket abscess is a surgical complete pacemaker system explantation and prolonged systemic antibiotic therapy. This is expensive and not always feasible. The aim of this study was to describe a new alternative treatment method for pacemaker pocket abscess. Case presentation: We present an 80-year-old woman with a history of heart failure, now with a staphylococcus aureus positive pacemaker pocket abscess. Referral to surgery for pacemaker explantation was not directly possible, due to the physical and mental state of the patient. Systemic gentamicin therapy was impossible, as a result of renal failure. A minimally invasive lavage treatment was thus performed. The pacemaker pocket abscess was punctured whilst maintaining the structural integrity of the abscess wall. After a closed lavage regimen of four weeks, there was no sign of recurrence of the infection. After one year follow-up, the patient is free of local or systemic infections. To our knowledge, this is the first report of this method of minimally invasive percutaneous closed abscess lavage. Conclusion: Gentamicin lavage of a pacemaker pocket abscess may be a feasible treatment option if a surgical pacemaker system explantation is not possible
Authors and Affiliations
Ali Talib, Samer Talib
Keywords
Related Articles
- EP ID EP343010
- DOI 10.19082/ah40
- Views 144
- Downloads 0
DESIGNING BIRTH DEFECTS MINIMUM DATA SET IN IRAN
Introduction: Birth defects are a known cause of mortality in infancy and the subsequent period. In fact, birth defects are structural changes that can affect almost every part of a child’s appearance or function, or bot...
BEE HONEY, ROYAL JELLY AND PROPOLIS FOR THE PREVENTION OF PRETERM LABOR
Background: In-vitro work showed that bee honey (BH) and royal jelly (RJ) had "improvement effect" on the mechanical performance of fetal membranes. Propolisis is known for its anti-infection properties. Consequently, we...
FAMILIAL COLORECTAL REGISTRY IN NORTHEAST OF IRAN
Introduction: Colorectal cancer (CRC) is the fourth cause of mortality from cancer in Iran. The incidence (age-adjusted) rate of CRC in Iran has been reported as 6 to 7.9 per 100,000 persons. Twenty percent of total CRCs...
USING VIRTUAL REALITY TECHNOLOGY TO SUPPORT MENTAL DISORDER AFFECTED PATIENTS
Introduction: Virtual reality is a computer technology that simulates the real world and provides user interaction with the virtual world. Mental disorders are a group of difficulties that affect the behavior and thinkin...
EVALUATION OF THE STRUCTURE OF WEBSITES OF EDUCATIONAL HOSPITALS OF FARS PROVINCE IN 2016
Introduction: In the recent years, evaluation of websites has become one of the main organizational instruments for the relationship between provision of services for customers and beneficiaries. Despite the high costs f...