An unusual case of vancomycin-related systemic reaction accompanied with severe thrombocytopenia mimicking pacemaker-related infective endocarditis: a case report and review of literature

被引:4
作者
Candemir, Basar [1 ,2 ]
Acibuca, Aynur [1 ]
Koca, Cigdem [1 ]
Ozcan, Ozgur Ulas [1 ]
Gerede, Menekse [1 ]
Kaya, Cansin T. [1 ]
机构
[1] Ankara Univ, Dept Cardiol, TR-06590 Ankara, Turkey
[2] Ankara Univ, Sch Med, Dept Cardiol, Ctr Heart, TR-06590 Ankara, Turkey
关键词
Implantable cardioverter defibrillator; Infective endocarditis; Hematoma; Vancomycin; Thrombocytopenia; DRUG-INDUCED THROMBOCYTOPENIA;
D O I
10.1007/s10840-012-9738-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Vancomycin is a glycopeptide antibiotic used in the prophylaxis and treatment of infections caused by Gram-positive resistant bacteria. In recent years, several cases of vancomycin-associated immune thrombocytopenia have been presented as case reports, but the real incidence of this side effect is still unknown. In this report, we would like to present a case during which we confronted with a great dilemma: urgent removal of whole defibrillator system due to highly suspected infective endocarditis or leaving the defibrillator in place and simply switching vancomycin to another antibiotic agent and wait.
引用
收藏
页码:143 / 145
页数:3
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