A 50/M with diabetes, hypertension, hypothyroidism, coronary artery disease and left ventricular (LV) dysfunction underwent dual chamber pacemaker implantation in 2008. He underwent pacemaker re- implantation elsewhere in 2011. In August 2012, he developed gradual onset of fever not responding to antibiotics. During the workup for pyrexia of unknown origin, transthoracic echocardiography (TTE) revealed vegetations around the leads. Positive blood culture is shown in Figure 1.
Figure 1: LPCB mount of the positive blood culture of the patient with infective endocarditis
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