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Figure 1. Osteomyelitis of a toe developed in a 59-year-old man with diabetes, coronary artery disease, and a cardioverter–defibrillator, which had been implanted three years earlier. The infection, which was caused by group B streptococcus, spread to the cardioverter–defibrillator. Computed tomography of the chest revealed no abnormalities (Panel A). The grossly infected cardioverter–defibrillator and epicardial patches were removed, and the patient was treated with amiodarone at a dose of 400 mg per day. Two months later, cough and dyspnea developed and the partial pressure of oxygen plummeted. The measured diffusing capacity of carbon monoxide dropped below 20 percent of . . . [Full Text of this Article] |
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