Systemic infection related to pacemaker endocavity leads. A case report and a litterature review.

Systemic infection related to transvenous pacemaker-leads are rare, but the ir diagnosis is difficult. We report the observation of a 78-year-old patie nt whose recurrent Staphylococcus aureus septicemias linked to endocarditis related to an endovascular lead only on a third observation, characterized by an infectious bone localization. Transoesophageal echocardiography appe ars as the reference diagnostic method. The treatment lies in the surgical ablation of the pacing system and a prolonged antibiotic therapy. The heavy mortality caused by these pathologies Leads us to reconsider the interest of a prophylaxis, particularly for elderly patients.