Abstract
A man in his 80’s presented with sudden onset chest pain in the outpatient waiting room at our hospital and was diagnosed with acute myocardial infarction. Emergency coronary angiography was performed, and a drug-eluting stent was placed in the occluded right coronary artery. After the procedure, the patient developed high-grade fever (40°) with chills. Computed tomography revealed retroperitoneal and iliopsoas abscesses. The patient’s condition did not improve with the administration of antibiotics, so a drainage procedure was deemed necessary. Because of the stent, he was prescribed dual antiplatelet therapy (DAPT) with aspirin and prasugrel. Two days after stent placement, percutaneous abscess drainage was performed with the patient continuing DAPT. No bleeding occurred when a drainage tube was placed. The tube was withdrawn 19 days after insertion. He was then discharged 11 days after removal of the tube.
