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Purpura Fulminans Associated With a Cardiac Implantable Electronic Device Infection

Kattan, Juan Nicolas MD*; Park, Eun Joo MD; Mastracci, Tara M. MD, FRCSC; Dresing, Thomas MD§; Gordon, Steven Mark MD*

Infectious Diseases in Clinical Practice: July 2013 - Volume 21 - Issue 4 - p 258–259
doi: 10.1097/IPC.0b013e31826991f4
Case Reports

Infectious complications of electronic implantable cardiac devices are common but sometimes go unrecognized given the lack of inflammatory findings at the insertion site. As patients with these types of devices become more common in our clinical practice, clinicians will need to keep a high level of suspicion in patients with unexplained staphylococcal bloodstream infection or evidence of embolic phenomena. We report a case of purpura fulminans secondary to septic shock from methicillin-susceptible Staphylococcus aureus in a patient with an infected cardiac implantable device. To our knowledge, this is the first report of purpura fulminans associated with sepsis from an implantable device infection caused by methicillin-susceptible S. aureus.

From the *Departments of Infectious Disease, †Internal Medicine, ‡Vascular Surgery and §Cardiology, Cleveland Clinic, Cleveland, OH.

Correspondence to: Juan Nicolas Kattan, MD, 9500 Euclid Ave/G21, Cleveland, OH 44195. E-mail:

J.N.K., E.J.P., T.M.M., and S.M.G. have no funding or conflicts of interest to disclose. T.D. has received speaking honoraria from Medtronic.

© 2013 by Lippincott Williams & Wilkins.