Skin lesions over the pocket area that may mimic cardiac implantable electronic device infection: A case series
| Autor: | Panagiotis Korantzopoulos, Elizabeth Florou, Sofia Plakoutsi, Aris Bechlioulis |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Spontaneous bruising General Medicine 030204 cardiovascular system & hematology medicine.disease Malignancy Dermatology Conservative treatment 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Superficial cellulitis medicine Favorable outcome Cardiology and Cardiovascular Medicine Skin lesion business Contact dermatitis Oral anticoagulation |
| Zdroj: | Pacing and Clinical Electrophysiology. 41:897-901 |
| ISSN: | 0147-8389 |
| DOI: | 10.1111/pace.13378 |
| Popis: | BACKGROUND The early and correct diagnosis of cardiac implantable electronic device (CIED) infections is critical given that early aggressive treatment with complete removal of the system along with antimicrobial therapy dramatically improves outcomes. Pocket infection manifested by local signs of inflammation is the most common form of CIED infections. Conditions mimicking pocket infection have been described in the literature. These include various types of malignancy and rarely allergic reactions/contact dermatitis to pacemaker compounds. We aimed to describe skin lesions and disorders over the pocket area that mimic CIED infection. METHODS We present a series of five cases with skin lesions that mimic pocket infection. We document these cases with corresponding photographs. Most of them have not been described in this setting. RESULTS We report the following cases of conditions that proved not to be CIED infection: One case of superficial cellulitis, one case of herpes zoster over the pocket area, one case of spontaneous bruising over the pocket a long time after implantation in a patient taking oral anticoagulation, and two cases of contact dermatitis due to prolonged postoperative application of povidone-iodine. All cases had favorable outcome after conservative treatment and no CIED infection was developed during follow-up. CONCLUSION Clinicians should be aware of rare conditions that mimic CIED infection. Incorrect diagnosis of these disorders may falsely lead to CIED extraction. |
| Databáze: | OpenAIRE |
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