Reddy K V Charan, Sanzgiri Prakash, Thanki Falguni, Suratkal Vidya
Department of Clinical and Interventional Cardiology, Lilavati Hospital & Research Centre, Bandra (W), Mumbai, India.
J Cardiol Cases. 2018 Sep 12;19(1):5-8. doi: 10.1016/j.jccase.2018.08.004. eCollection 2019 Jan.
Stent infection after drug-eluting stent implantation is uncommon but is a critical event. In this study, we describe two such cases of coronary stent infection but with varied presentation. The first patient presented with recurrent stent thrombosis and acute coronary syndrome while the second patient was erroneously diagnosed as having tubercular pericarditis and was started on anti-tubercular therapy. Due to their possible fatal outcome, we herein report our experience with this uncommon clinical entity to help in rapid diagnosis and treatment. < Infection involving implanted stents is rare, it can, however, occur with high morbidity and mortality. In absence of diagnostic criteria or classic signs and symptoms, one should be aware of its presence and risk factors associated with it. Certain rare conditions such as JAK2 V617F mutation significantly alter hemogram leading to changes in red blood cell, white blood cell, and platelet counts facilitating coronary thrombosis should also be kept in mind.>.
药物洗脱支架植入术后的支架感染并不常见，但却是一个关键事件。在本研究中，我们描述了两例此类冠状动脉支架感染病例，但表现各异。首例患者出现复发性支架血栓形成和急性冠状动脉综合征，而第二例患者被误诊为结核性心包炎并开始接受抗结核治疗。鉴于其可能的致命后果，我们在此报告我们对这一罕见临床实体的经验，以帮助快速诊断和治疗。<涉及植入支架的感染很少见，但可能发生，且发病率和死亡率很高。在缺乏诊断标准或典型体征和症状的情况下，应意识到其存在及其相关危险因素。某些罕见情况，如JAK2 V617F突变会显著改变血常规，导致红细胞、白细胞和血小板计数变化，易引发冠状动脉血栓形成，也应牢记。>
