# Coronary Stent Infection Reimagined: A Non-surgical Victory Against a Rare Cardiac Complication

**Authors:** Gopala Krishna Medarametla, Rahul Choudhary, Surender Deora, Narendra Bordiya, Ankit Yadav

PMC · DOI: 10.7759/cureus.102790 · Cureus · 2026-02-01

## TL;DR

This paper presents a rare case of a coronary stent infection and discusses the challenges of diagnosis and treatment without surgery.

## Contribution

The paper provides a detailed case report of a rare cardiac complication managed without surgical intervention.

## Key findings

- Persistent fever after stent placement can indicate a rare stent infection.
- Non-surgical management with antibiotics is a viable option when surgery is too risky.
- Imaging techniques like CT and PET scans aid in diagnosing stent infections.

## Abstract

Bacterial infection of a coronary stent is an exceptionally rare complication. Diagnosing such infections is often difficult due to non-specific clinical features and the limited sensitivity of early imaging studies. However, modalities like coronary angiography, cardiac CT, and PET scans can provide valuable diagnostic insights. Treatment generally involves prolonged intravenous antibiotic therapy, often in conjunction with surgical intervention when feasible. In cases where surgery carries substantial risk, conservative medical management may be considered. This report describes the case of a 36-year-old male patient who developed persistent fever shortly after coronary stent placement. The clinical course, imaging findings, and therapeutic challenges are discussed to highlight the complexities of diagnosing and managing this rare condition.

## Full-text entities

- **Diseases:** pseudoaneurysms (MESH:D017541), Thrombolysis in Myocardial Infarction (MESH:D009203), pericardial empyema (MESH:D004653), mycotic aneurysms (MESH:D000785), aneurysm (MESH:D000783), infected (MESH:D007239), leukocytosis (MESH:D007964), IWMI (MESH:D056989), stent thrombosis (MESH:D013927), Bacteraemia (MESH:C531821), Complication (MESH:D008107), purulent pericarditis (MESH:D010493), inflammation (MESH:D007249), abscess (MESH:D000038), acute coronary syndrome (MESH:D054058), Fever (MESH:D005334), Coronary Stent Infection (MESH:D003323), coronary-cameral fistulas (MESH:D005402), unstable angina (MESH:D000789), pericardial effusion (MESH:D010490), Bacterial infection (MESH:D001424), chest pain (MESH:D002637)
- **Chemicals:** FDG (MESH:D019788), gentamicin (MESH:D005839), cefixime (MESH:D020682), vancomycin (MESH:D014640)
- **Species:** Staphylococcus aureus (species) [taxon 1280], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12956466/full.md

## References

12 references — full list in the complete paper: https://tomesphere.com/paper/PMC12956466/full.md

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Source: https://tomesphere.com/paper/PMC12956466