An unusual case of disseminated intravascular coagulation

Dmitri Pchejetski; Mojiba Kenbaz; Heba Alshaker; Dharmesh Rajput; Kiruparajan Jesudason

doi:10.1093/omcr/omx009

An unusual case of disseminated intravascular coagulation

Dmitri Pchejetski
, Mojiba Kenbaz
, Heba Alshaker
, Dharmesh Rajput
, Kiruparajan Jesudason

Research output: Contribution to journal › Article › peer-review

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Abstract

The use of cardiac pacemakers is increasing worldwide. Infective endocarditis from a pacemaker lead is a rare, but one of the most severe complications of pacemaker insertion. The diagnosis of pacemaker-related infective endocarditis is usually delayed due to unspecific clinical signs and symptoms at presentation compared to native valve infective endocarditis. Several factors can increase the risk of cardiac pacemaker-related infective endocarditis including cachexia, malignancy, diabetes mellitus, immunosuppression and corticosteroid treatment. This case report is about a 70-year-old diabetic male who presented to the emergency department with disseminated intravascular coagulation (DIC), cardiac and liver failure. He was diagnosed with pacemaker infective endocarditis, which was ultimately fatal.

Original language	English
Article number	omx009
Journal	Oxford Medical Case Reports
Volume	2017
Issue number	4
DOIs	https://doi.org/10.1093/omcr/omx009 https://doi.org/10.1093/omcr/omx009
Publication status	Published - 3 Apr 2017

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.1093/omcr/omx009Licence: CC BY-NC
10.1093/omcr/omx009

Published manuscript
© The Author 2017. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact [email protected]
Final published version, 157 KBLicence: CC BY-NC

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Cite this

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abstract = "The use of cardiac pacemakers is increasing worldwide. Infective endocarditis from a pacemaker lead is a rare, but one of the most severe complications of pacemaker insertion. The diagnosis of pacemaker-related infective endocarditis is usually delayed due to unspecific clinical signs and symptoms at presentation compared to native valve infective endocarditis. Several factors can increase the risk of cardiac pacemaker-related infective endocarditis including cachexia, malignancy, diabetes mellitus, immunosuppression and corticosteroid treatment. This case report is about a 70-year-old diabetic male who presented to the emergency department with disseminated intravascular coagulation (DIC), cardiac and liver failure. He was diagnosed with pacemaker infective endocarditis, which was ultimately fatal.",

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