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Sternal osteomyelitis complicating percutaneous coronary artery stenting
Hugo Bonatti1, Thomas Berger, Maria Waltner-Romen
1Department of General and Transplant Surgery, Innsbruck University Hospital, Innsbruck, Austria. Hugo.Bonatti@uklibk.ac.at
Wiener Klinische Wochenschrift
|August 5, 2004
Summary
Hematogenous sternal osteomyelitis is a rare infection. Coronary artery stenting can lead to this serious Staphylococcus aureus infection, but prolonged antibiotics can successfully treat it without surgery.
Area of Science:
- Infectious Diseases
- Cardiology
- Radiology
Background:
- Hematogenous sternal osteomyelitis is a rare infection, often linked to intravenous drug abuse or trauma.
- Staphylococcus aureus is the most common pathogen.
- Coronary artery stenting is a common procedure with a low complication rate.
Observation:
- A 72-year-old man developed sternal osteomyelitis after coronary artery stenting.
- Diagnosis was confirmed by CT scan, MRI, and positive blood/tissue cultures for S. aureus.
Findings:
- The patient was treated with intravenous and oral antibiotics, including cephalosporins and linezolid.
- Prolonged antibiotic therapy alone successfully controlled the infection without surgical intervention.
Implications:
- This case highlights a rare but serious infectious complication of coronary artery stenting.
- It underscores the importance of considering osteomyelitis in patients with sternal pain post-procedure.
- Successful non-surgical management of this rare complication is demonstrated.