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Case report: hip septic arthritis and abcess after diagnostic coronary angiography

Hüseyin Ayhan1, Nihal Akar Bayram, Telat Keles

  • 1Department of Cardiology, Ataturk Education and Research Hospital, Ankara, Turkey.

Perfusion
|February 6, 2010
PubMed

Insights

Coronary angiography can rarely lead to septic arthritis and abscess. A patient developed a hip infection and abscess after the procedure, causing leg weakness and pain.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Orthopedic Surgery

Background:

  • Coronary angiography is a common invasive cardiac procedure.
  • While generally safe, potential complications exist, though rare.
  • Septic arthritis and abscess are exceptionally uncommon sequelae.

Observation:

  • A 49-year-old male presented with non-ST-segment elevation myocardial infarction.
  • Following coronary angiography, the patient developed right leg weakness, femoral nerve palsy, and inguinal pain.
  • No external signs of bleeding or hematoma were noted at the puncture site.

Findings:

  • The patient was diagnosed with right hip septic arthritis and a concurrent abscess.
  • The symptoms were directly attributed to the infectious process originating post-angiography.
  • This highlights a rare but serious infectious complication.

Implications:

  • Clinicians should consider rare infectious complications in patients presenting with neurological or pain symptoms after coronary angiography.
  • Prompt diagnosis and treatment of septic arthritis and abscess are crucial for patient outcomes.
  • This case underscores the importance of vigilance for atypical presentations following invasive procedures.

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