The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Cardiac Resynchronization Therapy-Defibrillator Pocket Infection Due to Non-Typhoidal Salmonella Infection

비장티푸스성 살모넬라균에 의한 심율동전환제세동기 삽입부 감염 1예

  • Lee, Dong-Jun (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Seung-Hyun (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Han, Jae-Hyun (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Seung-Jun (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Pak, Hui-Nam (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Moon-Hyoung (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Joung, Boyoung (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine)
  • 이동준 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 이승현 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 한재현 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 이승준 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 박희남 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 이문형 (연세대학교 의과대학 내과학교실 순환기내과) ;
  • 정보영 (연세대학교 의과대학 내과학교실 순환기내과)
  • Received : 2012.04.17
  • Accepted : 2012.06.26
  • Published : 2013.03.01
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Abstract

Non-typhoidal salmonella is rarely the cause of pacemaker infection. A 68-year-old man was referred to our hospital with tenderness and swelling at his cardiac resynchronization therapy defibrillator (CRT-D) implantation site. He had undergone CRT-D implantation because of sustained ventricular tachycardia and heart failure 7 years earlier, and the generator had been changed 2 months earlier. Twenty-four years earlier, he had undergone aortic valve replacement and mitral valve repair. We removed the generator and all of the CRT-D leads. After lead extraction, non-typhoidal salmonella serogroup B was cultured at the pocket and lead tip. The patient was managed successfully with lead extraction and antibiotic therapy.

비장티푸스성 살모넬라 감염증에서 국소 병변으로 심장내 장치의 포켓 감염은 드물게 발생한다. 저자들은 국내에서 보고된 바 없는 CRT-D 삽입부위의 비장티푸스성 살모넬라 감염으로 CRT-D 제거술 및 항생제 치료 후 완치된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 또한 이러한 의원성 감염을 줄이기 위해 우리는 시술 전후의 환자 상태를 철저히 관리하고, 시술 중 무균적 상태를 유지하고, 감염이 발생한 경우엔 조기에 적절한 치료가 이루어져야 하겠다.

Keywords

References

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