1. A Case of Histologically-Diagnosed Pacemaker-Mediated Dermatitis
- Author
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Yasuhiro Sezuthu, Toshirou Iwai, Hideo Yamamoto, Hitoshi Yoshimura, Tsukasa Tajimi, Unpei Yamamoto, Hideki Origuchi, Kan Kikuchi, Syunji Hayashidani, Masahiro Mohri, Kenji Miyata, and Mitsuru Noma
- Subjects
medicine.medical_specialty ,integumentary system ,Erythema ,business.industry ,medicine.drug_class ,Eosinocyte ,Pectoral muscle ,Antibiotics ,Granulation tissue ,Histological finding ,Dermatology ,Surgery ,Pacemaker implantation ,medicine.anatomical_structure ,Eosinophilic infiltration ,medicine ,medicine.symptom ,skin and connective tissue diseases ,Cardiology and Cardiovascular Medicine ,business - Abstract
We report a 90-year-old man, who presented 17 months after his pacemaker implantation with erythema and blistering at site of pacemaker insertion. He was initially treated with non-steroidal anti-inflammatory drugs and anti-allergic agents. After 2 weeks, erythema and blistering at site of pacemaker insertion was cured. However, he had recurrence of erythema and blistering at site of pacemaker insertion after 2 month. To make matters worse, blister had broken with inflammatory granulation tissue and pus, methicillin-sensitive staphylococcus aureus were detected by bacteriological culture. After pacemaker generator and leads removal and administration of antibiotics, new pacemaker generator and leads were implanted another side of chest under greater pectoral muscle. Eosinophilic infiltration was shown in the section of the skin at blister histologically. The histological finding suggest that preexsisting pakemeker-mediated dermatitis cause pacemaker infection.
- Published
- 2011
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