I Merinopoulos, S O’Toole, JN Porter, D Braganza, C Mistry, V Vassiliou, DA Enoch
Journal Issue: 
Volume 44: Issue 3: 2014


Pacemaker infections can be difficult to diagnose, especially when they present with non-specific symptoms and signs a long time after insertion of the device. Unidentified or partially treated low-grade chronic sepsis can result in multisystem disease processes with significant mortality and morbidity. Therefore, a high index of suspicion is required to identify the pacemaker as the source of sepsis and treat it effectively. This report describes a case of chronic pacemaker wire infection, which eventually presented with Sweet’s syndrome, a rare manifestation of infective endocarditis.