心脏起搏器感染病.pptVIP

Pacemaker infection Case presentation Mr. Chui, 81-years-old Presented with recurrent syncope Holter showed sick sinus syndrome VVI implanted in July 2005, procedure uneventful In Accident and Emergency department (AED), Attended AED in Oct, 2005 and complained of pacer wound pain and swelling Treated as cellulitis with ampicillin and cloxacillin 3 days later, attended AED again for increasing pacer wound pain and swelling Incision and drainage was done in AED !! Referred to general clinic for wound dressing !! Noticed pacemaker exposed by general clinic nurse Admitted to medical ward