Saeed Walaa, Adam Mohammad, Abdallah Tasneem A, Omrani Ali S
Department of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Division of Infectious Diseases, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.
IDCases. 2020 Aug 8;22:e00929. doi: 10.1016/j.idcr.2020.e00929. eCollection 2020.
Coronary artery interventions are safe procedures yet have a risk of stent infection, bacteremia and sepsis, events that are rare but with high morbidity and mortality sequel. A few prior cases had reported post percutaneous coronary intervention (PCI) infections, abscesses and sepsis due to , followed by Cardiac Actinomyces infections are extremely rare. Here we report a case of a 50 year old patient who developed a post intervention epicardial abscess occluding right coronary artery with subsequent bacteremia eventually requiring open heart surgery. He was treated during and thereafter with IV penicillin and ceftriaxone for almost 8 weeks. We highlight during this review the available literature regarding risk factors, the possible theories of acquiring such bacterium at this unusual site as well as our patient's course and treatment outcome.
冠状动脉介入治疗是安全的手术，但有发生支架感染、菌血症和脓毒症的风险，这些事件虽罕见，但会导致高发病率和死亡率的后果。先前有少数病例报告了经皮冠状动脉介入治疗（PCI）后因……而发生感染、脓肿和脓毒症，随后是心脏放线菌感染极为罕见。在此，我们报告一例50岁患者，其在介入治疗后发生心外膜脓肿，阻塞右冠状动脉，随后发生菌血症，最终需要进行心脏直视手术。在此期间及之后，他接受了近8周的静脉注射青霉素和头孢曲松治疗。在本综述中，我们着重介绍了关于危险因素的现有文献、在这个不寻常部位感染这种细菌的可能理论以及我们患者的病程和治疗结果。
