Pyoderma gangrenosum complicating a permanent pacemaker implantation: a case report and literature review.

ABSTRACT:

Background

Pocket complications are common after cardiac implantable electronic device implantation. We report a rare case of pyoderma gangrenosum (PG) complicating a permanent pacemaker implantation, and the first literature review of 10 published cases.

Case summary

Five days after pacemaker implantation for heart failure and 2:1 atrioventricular block, a 93-year-old man had pain in the scar and bleeding on contact. Two days later, he had fever, inflammatory syndrome, and a necrotic 7-cm wound. The pacemaker was removed and he was started on antibiotics. Due to a lack of bacterial growth in samples, PG (a rare aseptic, destructive inflammatory cutaneous condition) was suspected, and histology was compatible with this diagnosis. High-dose corticosteroids vastly improved his

SUBMITTER: Frey P 

PROVIDER: S-EPMC7180522 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature