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

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Abstract

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.

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Authors and Affiliations

  1. Cardiology Department, Ankara University, Ankara, Turkey

    Basar Candemir, Aynur Aribuca, Cigdem Koca, Ozgur Ulas Ozcan, Menekse Gerede & Cansin T. Kaya

  2. Heart Center, Cardiology Department, School of Medicine, Ankara University, 06590, Dikimevi, Ankara, Turkey

    Basar Candemir

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  1. Basar Candemir
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  2. Aynur Aribuca
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  3. Cigdem Koca
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  4. Ozgur Ulas Ozcan
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  5. Menekse Gerede
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  6. Cansin T. Kaya
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Correspondence to Basar Candemir.

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Candemir, B., Aribuca, A., Koca, C. et al. An unusual case of vancomycin-related systemic reaction accompanied with severe thrombocytopenia mimicking pacemaker-related infective endocarditis: a case report and review of literature. J Interv Card Electrophysiol 38, 143–145 (2013). https://doi.org/10.1007/s10840-012-9738-6

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  • DOI: https://doi.org/10.1007/s10840-012-9738-6

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