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Deep inguinal infection after percutaneous coronary intervention
Ibrahim Sari1, Vedat Davutoglu, Serdar Soydinc
1Department of Cardiology, School of Medicine, Gaziantep University, 27310 Gaziantep, Turkey. drisari@yahoo.com
The New Zealand Medical Journal
|February 19, 2008
Summary
A small hematoma after coronary stent procedures can lead to deep wound infections. Prompt antibiotic treatment and wound care are crucial for healing.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- Percutaneous coronary interventions (PCI) are common procedures for treating coronary artery disease.
- Femoral artery access is frequently used for PCI, with potential complications including hematoma formation.
- Access site hematomas can serve as a nidus for subsequent infections.
Observation:
- A 62-year-old female developed a deep ulcerative wound at the femoral artery puncture site 40 days post-PCI.
- The wound culture identified methicillin-sensitive Staphylococcus aureus (MSSA).
- The patient had a pre-existing small hematoma at the access site from the initial procedure.
Findings:
- The patient received appropriate antibiotic therapy and wound care for the deep inguinal infection.
- The infection resolved with complete epithelization and no further complications.
- Successful management of the MSSA infection was achieved.
Implications:
- This case highlights the importance of meticulous hematoma management at percutaneous procedure access sites.
- Preventing and promptly treating access site hematomas can reduce the risk of serious infections.
- Vigilance for delayed complications following PCI is essential for patient outcomes.
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