Prolonged fever in a case of end stage renal disease with remained guidewire

authors:

avatar Mehrdad Jafari Fesharaki 1 , * , avatar Mohammad Parsa Mahjoob 2 , avatar Naser Cachouian 3 , avatar Vahid Eslami 4

Department of Cardiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Prevention of Cardiovascular Disease Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Cardiovascular Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

how to cite: Jafari Fesharaki M, Mahjoob M P, Cachouian N, Eslami V. Prolonged fever in a case of end stage renal disease with remained guidewire. Int J Cardio Pract. 2020;5(2):e131480. doi: 10.5812/ijcp-131480.

Abstract

Catheter-related infection is one of the severe complications in hemodialysis patients with high morbidity and mortality. Transesophageal echocardiography is a suitable diagnostic method that helps diagnose catheter infections with relatively high accuracy. A 70-year-old woman on chronic dialysis through a catheter was admitted with a suspected catheter infection. In transesophageal echocardiography and fluoroscopy, an elongate guidewire was observed from the right atrium to the femoral veins left there since previous catheter insertion one year ago. The Guidewire was removed surgically, and the tricuspid valve was replaced with a mechanical valve because of infective endocarditis.

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