Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Cholesterol Embolism after Cardiac Catheterization Mimicking Infective Endocarditis
Takakuni MAKIChisato IZUMIMakoto MIYAKEToshiaki IZUMIShuichi TAKAHASHIYoshihiro HIMURATakashi KONISHI
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 10 Pages 1060-1063

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Abstract

We present a 65-year-old man with rheumatic combined valvular heart disease showing persistent fever 3 weeks after diagnostic cardiac catheterization. Infective endocarditis was strongly suspected from the clinical course, however, serial blood cultures were negative. Transesophageal echocardiography, done to investigate vegetation, revealed multiple mobile plaques in the descending aorta. Administration of both steroid and simvastatin improved both symptoms and renal function. Cholesterol embolism should be considered to be one of the possible causes of low-grade fever after cardiac catheterization especially in patients with anticoagulation.

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© 2005 by The Japanese Society of Internal Medicine
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