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Pacemaker endocarditis 15 years after pacemaker revision surgery in a 58-year-old man.
Pacemaker endocarditis 15 years after pacemaker revision surgery in a 58-year-old man. Shown are a large vegetation (3.5 by 5 cm) on the pacemaker lead (A) and an echogenic mass (EM) in the right ventricle (RV) seen by transesophageal echocardiography (B and C). P. acnes endocarditis was diagnosed by conventional tissue culture and broad-spectrum PCR of the vegetation around the pacemaker lead. RA, right atrium. Blue-green arrows show pacemaker leads in the cross section. (Courtesy of C. Starck, Zurich, Switzerland.) Yvonne Achermann et al. Clin. Microbiol. Rev. 2014; doi: /CMR
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