# Culture Negative Stent Infection in an Infant with Hypoplastic Left Heart and Persistent Fever

## TL;DR

An infant with a rare heart condition and persistent fever was found to have a stent infection that was only detected after surgical removal.

## Contribution

Highlights the importance of considering device-related infections in infants with unexplained persistent fever.

## Key findings

- Persistent fever in the infant was not resolved by standard antibiotic treatment.
- Stent cultures became positive only after surgical extraction, indicating a device-related infection.
- Treatment with 4 weeks of targeted antibiotics resolved the fever.

## Abstract

We present an infant with hypoplastic left heart with persistent fever despite two courses of antibiotics and repeatedly negative blood cultures. He eventually underwent surgical extraction of two stents. The stent cultures became positive; he was treated with 4 weeks of antibiotics and the fever resolved.