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Published on: August 26, 2025
Persistent high fever and systemic inflammation induced by percutaneous coronary intervention-related periaortitis
Takamori Kakino1, Tomohiro Nakayama, Hideo Yamamoto
1Department of Cardiology and Radiology, Kyushu Kosei-Nenkin Hospital, Kitakyushi City, Japan.
Insights
Fever after coronary catheterization is common, but a rare case suggests it can cause persistent inflammation. This study links periaortitis to coronary catheterization and percutaneous coronary intervention, leading to prolonged high fever.
Area of Science:
- Cardiology
- Infectious Disease
Background:
- Fever is a common, usually temporary, side effect following coronary catheterization.
- Systemic inflammation can occur post-procedure, but persistent high fever is unusual.
Observation:
- A rare case of persistent high fever and systemic inflammation following coronary catheterization is presented.
- The patient experienced prolonged febrile episodes and inflammatory markers.
Findings:
- The persistent symptoms were potentially induced by periaortitis.
- Periaortitis, an inflammation of the aorta, was suggested as a complication linked to the catheterization procedure, including percutaneous coronary intervention.
Implications:
- This case highlights a rare but serious potential complication of coronary catheterization.
- Awareness of periaortitis as a cause of persistent fever post-procedure is crucial for diagnosis and management.
Abstract:
After coronary catheterization, fever sometimes occurs, usually transiently. We report a very rare case that suggests persistent high fever and systemic inflammation might be caused by periaortitis induced by coronary catheterization including percutaneous coronary intervention.
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