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open access

Vol 13, No 3 (2007)
Case report
Published online: 2007-07-04
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Long-lasting fever after thoracic stent-graft implementation

Artur Radziemski, Robert Juszkat, Fryderyk Pukacki, Grzegorz Oszkinis, Karolina Jankowska, Wacław Majewski
DOI: 10.5603/aa.9848
·
Acta Angiologica 2007;13(3):130-135.

open access

Vol 13, No 3 (2007)
Case reports
Published online: 2007-07-04

Abstract

In spite of the relatively small trauma that results from intravascular operation in the treatment of thoracic aortic aneurysm, the implementation of a prosthesis is associated with an inflammatory reaction. Accompanying clinical symptoms (prolonged increased body temperature) as well as biochemical changes (shifts in C-reactive protein levels) may indicate infection. Suspecting a septic condition with secondary prosthesis infection, we are forced to implement prolonged antibiotic treatment and in some cases prosthesis removal. The patient presented by us is an example of that. Positive bacteriological culture from blood suggested infection diagnosis. However, this was not reflected in radiological imaging examinations and parallel antibiotic treatment. Only the discontinuation of antibiotics in the 4th week and the implementation of steroid treatment made the fever subside and C-reactive protein levels normalize.

Abstract

In spite of the relatively small trauma that results from intravascular operation in the treatment of thoracic aortic aneurysm, the implementation of a prosthesis is associated with an inflammatory reaction. Accompanying clinical symptoms (prolonged increased body temperature) as well as biochemical changes (shifts in C-reactive protein levels) may indicate infection. Suspecting a septic condition with secondary prosthesis infection, we are forced to implement prolonged antibiotic treatment and in some cases prosthesis removal. The patient presented by us is an example of that. Positive bacteriological culture from blood suggested infection diagnosis. However, this was not reflected in radiological imaging examinations and parallel antibiotic treatment. Only the discontinuation of antibiotics in the 4th week and the implementation of steroid treatment made the fever subside and C-reactive protein levels normalize.

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Keywords

stent-graft; fever; infection

About this article
Title

Long-lasting fever after thoracic stent-graft implementation

Journal

Acta Angiologica

Issue

Vol 13, No 3 (2007)

Article type

Case report

Pages

130-135

Published online

2007-07-04

Page views

652

Article views/downloads

2452

DOI

10.5603/aa.9848

Bibliographic record

Acta Angiologica 2007;13(3):130-135.

Keywords

stent-graft
fever
infection

Authors

Artur Radziemski
Robert Juszkat
Fryderyk Pukacki
Grzegorz Oszkinis
Karolina Jankowska
Wacław Majewski

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