%0 Journal Article %T An unusual case of disseminated intravascular coagulation %A Dharmesh Rajput %A Dmitri Pchejetski %A Heba Alshaker %A Kiruparajan Jesudason %A Mojiba Kenbaz %J Archive of "Oxford Medical Case Reports". %D 2017 %R 10.1093/omcr/omx009 %X The use of cardiac pacemakers is increasing worldwide. Infective endocarditis from a pacemaker lead is a rare, but one of the most severe complications of pacemaker insertion. The diagnosis of pacemaker-related infective endocarditis is usually delayed due to unspecific clinical signs and symptoms at presentation compared to native valve infective endocarditis. Several factors can increase the risk of cardiac pacemaker-related infective endocarditis including cachexia, malignancy, diabetes mellitus, immunosuppression and corticosteroid treatment. This case report is about a 70-year-old diabetic male who presented to the emergency department with disseminated intravascular coagulation (DIC), cardiac and liver failure. He was diagnosed with pacemaker infective endocarditis, which was ultimately fatal %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410876/