case_images: PMC8141458_01
case_images: Erythema and swelling around CRT-P insertion site.
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case_images: PMC8141458_01_gr1.jpg
case_images: fig0005
case_images: Physical exam showed erythema, swelling, and tenderness to palpation at the left chest surrounding the pacemaker insertion site (Fig. 1).
case_images: TEE revealing vegetation at the anterior leaflet of the mitral valve.
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case_images: PMC8141458_01_gr2.jpg
case_images: fig0010
case_images: Transthoracic and transesophageal echocardiography demonstrated vegetation on the anterior leaflet of the mitral valve suggestive of endocarditis, but no vegetation on the device leads (Fig. 2, Fig. 3); nonetheless, the electrophysiology team performed a percutaneous CRT-P extraction on hospital day 7.
case_images: Respective MIC per Antimicrobial for E. cloacae.
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case_images: PMC8141458_01_gr4.jpg
case_images: fig0020
case_images: Treatment was narrowed to cefepime monotherapy targeting pacemaker and mitral valve endocarditis (Fig. 4).