volume 2014, issue feb10 1, Pbcr2013202893-bcr2013202893 2014
DOI: 10.1136/bcr-2013-202893
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Abstract: DESCRIPTIONA 68-year-old man who 1 year previously had been fitted with a permanent pacemaker implantation (PPI) for symptomatic sinus bradycardia was admitted with recurrent syncope and intermittent moderate-grade fever for 2 months. He was on intermittent antibiotics from rural health centre for the same duration with no improvement in his condition.On examination, he was frail with exteriorisation of the pacemaker (figure 1) with pus exuding from the pacemaker pocket. Transoesophageal echocardiography reve…

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