Title: Recurring Fever in a Cancer Patient – “Light at the end of the Tunnel” – Case Report
Authors: Dr Venugopal Angamuthu Vignesh Kumar, Dr Subramanian Girija, Dr Subbarayan Madhan Kumar, Dr Senthilvelan Thenmozhi
DOI: https://dx.doi.org/10.18535/jmscr/v8i11.58
Abstract
Recurrent fever can be the manifestation of autoimmune disease, malignancies and infections. Working up the cause of fever in a patient with underlying malignancy and under treatment can be a challenging task. We present a case of 46 years old female with breast carcinoma, who presented with recurrent fever episodes. The patient was evaluated and found to have catheter (tunnelled) related septicaemia, septic emboli and endocarditis. Device related infections need high index of suspicion and treatment should be planned based on the type of catheter and organisms.
Keywords: Right sided infective endocarditis, septic emboli, tunnelled catheter, device related infection.
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