The Case of Long Lasting Septic Shock after the Removal of Infected ICD Generator and Lead

概要

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The case was 58 years old male. His chief complaints were fever and depressed consciousness. He had a history of aortic valve replacement on March 2006. On November 2010, we implanted ICD at the left subclavian space for treatment of sustained polymorphic VT. On the 15th day after operation he felt fever, and on the 17th day he became shock state with the deterioration of his consciousness, leading to the emergent admission of our hospital. His wound showed pus-discharge, so the extraction of his ICD generator and lead was performed on the second hospital day. But septic shock continued for 7 days with three types of antibiotics medication and drainage. The culture from his blood and wound showed Methycillin sensitive Staphylococcus aureus. The antibiotics change from Vancomycin to Ampicillin relieved his bacteremia and lowered fever on the 11th hospital day. On the 66th hospital day we newly implanted ICD system at the right subclavian space and on the 70th day he was discharged from our hospital.