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Septic endarteritis following femoral arterial catheterization for intravascular procedures has a reported frequency of less than 1%.^1-3 Risk factors for septic endarteritis include repeat puncture, indwelling sheath for more than 24 hours, and hematoma formation after a procedure.² Patients can present from 2 to 14 days after a procedure with systemic manifestations of infection (fever, chills, and malaise) and commonly localizing symptoms (pain, erythema, edema, and purulent exudate).² However, early in the course, symptoms can be nonspecific.⁴ We describe herein a fatal case of septic endarteritis associated with a pseudoaneurysm of the femoral artery that occurred after a cardiac catheterization.

Report of a Case

A 77-year-old white man presented with painful, purpuric macules and papules on his right foot (Figure 1). The patient had recently undergone cardiac catheterization via his right femoral artery. He had no other complaints, was afebrile, and generally felt well.

Figure appears in full text version. Figure 1. Unilateral, painful, purpuric macules and papules . . . [Full Text of this Article]

Comment

AUTHOR INFORMATION
Frank C. Saporito, MD; Cloyce L. Stetson, MD; Richard H. Hope, MD