TY - JOUR
T1 - A common pathogen in an uncommon site
T2 - Coronary artery stent Meticillin-Resistant Staphylococcus aureus infection
AU - Shafer, Krystle
AU - Toma, Catalin
AU - Galdys, Alison
N1 - Publisher Copyright:
© 2017 The Authors.
PY - 2017/9
Y1 - 2017/9
N2 - Introduction. Coronary artery stents are an uncommon site for infection. Only a handful of case reports describe this condition, and Staphylococcus aureus is the most frequent pathogen. Although rare, coronary stent infections are associated with a high mortality rate. Case presentation. We describe the case of a 50-year-old man with a past medical history of seven prior meticillin-resistant S. aureus (MRSA) infections over the previous 12 months, who presented with fever and was found to have persistent MRSA bacteraemia. During his hospital course, he developed chest pain and underwent coronary angiography, which revealed a left circumflex coronary to left atrium fistula, presumably due to endarteritis/sent infection. He was treated with combination parenteral antibiotics that were succeeded by oral suppressive therapy. Six months after his diagnosis of coronary stent infection, he suffered a fatal cardiac arrest. Conclusion. Coronary artery stents are an infrequent source of infection; when they occur, they are typically due to S. aureus, have a high mortality and ideally are treated with surgical intervention.
AB - Introduction. Coronary artery stents are an uncommon site for infection. Only a handful of case reports describe this condition, and Staphylococcus aureus is the most frequent pathogen. Although rare, coronary stent infections are associated with a high mortality rate. Case presentation. We describe the case of a 50-year-old man with a past medical history of seven prior meticillin-resistant S. aureus (MRSA) infections over the previous 12 months, who presented with fever and was found to have persistent MRSA bacteraemia. During his hospital course, he developed chest pain and underwent coronary angiography, which revealed a left circumflex coronary to left atrium fistula, presumably due to endarteritis/sent infection. He was treated with combination parenteral antibiotics that were succeeded by oral suppressive therapy. Six months after his diagnosis of coronary stent infection, he suffered a fatal cardiac arrest. Conclusion. Coronary artery stents are an infrequent source of infection; when they occur, they are typically due to S. aureus, have a high mortality and ideally are treated with surgical intervention.
KW - Combination therapy
KW - Coronary stent infection
KW - Coronary stent removal
KW - Staphylococcus bacteremia
KW - Suppressive therapy
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U2 - 10.1099/jmmcr.0.005110
DO - 10.1099/jmmcr.0.005110
M3 - Article
AN - SCOPUS:85047203507
SN - 2053-3721
VL - 4
JO - JMM Case Reports
JF - JMM Case Reports
IS - 9
M1 - 005110
ER -