An unusual case of fungal ball on implantable cardioverter defibrillator wire and literature review

Abstract

Cardiac Implantable Electronic Device (CIED) includes pacemakers and implantable cardioverter defibrillators (ICD). The device infection is classified into pocket and systemic infection. We present a case of candida fungemia secondary to dissemination from the fungal ball found on an ICD. Patient was successfully managed with IV fluconazole, ICD explantation and reimplantation. The purpose of this report is to highlight rare complications of ICD implantation and guide its clinical course and management.

Keywords

• fungal infection
• implantable cardioverter defibrillator
• cardiac device infection
• candida
• fungal ball