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

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.