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Pol. Merkur. Lek (Pol. Med. J.), 2017, XLIII/255: 125-128 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2017, XLIII/255: 125-128

Title: Acalculous cholecystitis in a female with cardiac device-related infective endocarditis  

Authors: Elikowski W, Mitkowski P, Małek-Elikowska M, Gizło J, Chmielewska-Michalak L, Łazowski S. 

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Acalculous cholecystitis in a female with cardiac device-related infective endocarditis


Elikowski W1, Mitkowski P2, Małek-Elikowska M3, Gizło J4, Chmielewska-Michalak L2, Łazowski S5.

Józef Struś Hospital, Poznań, Poland: 1Department of Internal Medicine, 4Department of General and Colorectal Surgery, 5Pathomorphology Unit; Poznań University of Medical Sciences, Poland: 21st Department of Cardiology, 32nd Department of Cardiology

Acute acalculous cholecystitis (AAC) is a necroinflammatory disease of the gallbladder with no gallstones present. ACC is known to be a serious, even potentially lethal complication observed mainly in patients with various severe underlying conditions including trauma, burn and sepsis. Infection of cardiac implantable electronic devices may lead to cardiac device-related infective endocarditis (CDRIE). The authors describe a case of a 55-year-old female with a history of advanced heart failure and implantation/reimplantation of biventricular pacemaker/defibrillator (CRT-D) for cardiac resynchronization therapy. She was admitted presently due to the symptoms of septicemia. Echocardiography revealed CDRIE with mobile vegetations on pacemaker leads; chest computed tomography showed pulmonary infarctions. Staphylococcus aureus was cultured from the blood. Antibiotics were applied in accordance with antimicrobial susceptibility and were continued after percutaneous leads extraction and pacemaker explantation. After 6 weeks of hospitalization, nonspecific abdominal symptoms developed, ultrasonography and computed tomography confirmed AAC diagnosis. Laparoscopic cholecystectomy was performed. To the best of the authors , knowledge, the case presented is the first report of ACC in a patient with CDRIE due to infection of pacemaker leads.

Key words: acalculous cholecystitis, cardiac device-related infective endocarditis, lead-dependent infective endocarditis

Pol Med J, 2017; XLIII (255); 125–128