Fever and neck pain after pacemaker lead extraction: A case report
Fever and neck pain after pacemaker lead extraction: A case report作者机构：Department of CardiologyNanjing Drum Tower HospitalClinical College of Nanjing Medical UniversityNanjing 210008Jiangsu ProvinceChina Department of CardiologyNanjing Drum Tower HospitalNanjing University Medical SchoolNanjing 210008Jiangsu ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2019年第7卷第15期
页 面：2103-2109页
核心收录：
学科分类：10[医学]
基 金：Supported by Nanjing Foundation for Development of Science and Technology No.ZKX14018
主 题：Venous thrombosis Lead extraction Neck pain Fever Anticoagulants Case report
摘 要：BACKGROUND Venous thrombosis(VT) is one of the minor complications of pacemaker lead extraction. It is often found due to the swelling of the limbs after the extraction. It is easy to be neglected or even misdiagnosed in the absence of typical clinical symptoms. The incidence, risk factors, and long-term impact of this complication are still unclear. Herein, we report a case of deep VT caused by transvenous lead extraction, which is easily *** SUMMARY A 66-year-old woman underwent a pacemaker lead extraction at our hospital because of a pacemaker pocket infection. After the extraction, she began to experience intermittent fever accompanied by sweating. The highest body temperature recorded was 37.9℃. Additionally, she reported migratory pain that made her uncomfortable. The pain was mistakenly thought to be caused by operation trauma. At first, the pain radiated from the left chest to the ***, the pain in the left chest was alleviated, but pain in the left neck and throat appeared. Finally, the pain was confined to the mandible and a submandibular mass was palpated with no other abnormalities upon physical *** tomography venography and angiography finally indicated that the fever and pain were the symptoms of thrombophlebitis caused by lead *** patient was then treated with rivaroxaban for more than three months and has shown no symptoms since she left the *** The possibility of thrombosis should be considered when pain and recurrent fever occur after pacemaker lead extraction.
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