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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Be The Reason For Fever After Open Heart Surgery?

My Stepfather had Open Heart Surgery 4 weeks ago (replaced a valve and removed an anerism). His recovery was amazing! Everyone (even doctors) could not believe how well he was doing. Then, exactly 2 weeks later he began with fevers which returned him to the hospital (102 - 103). while in the hospital his temp rose to 108! He remained completely fine otherwise! During the fever episodes he gets uncontrolable chills and shakes. He was released from the hospital after 8 days with no conclusion. His temps stayed around 99. Now, 2 weeks later he is back in the hospital with temps of 103 - 105....MRI s showed nothing, CT Scans show nothing, NUMEROUS blood cultures show nothing! What could be happening? Now, this otherwise completely healthy 64 year old man is getting very worn down, and frustrated to say the least. What could this be?
posted on Fri, 14 Mar 2014
Twitter Tue, 20 Dec 2016 Answered on
Twitter Tue, 20 Dec 2016 Last reviewed on
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Cardiologist,  's  Response
There is possibility of infective endocarditis which is nothing but the infection of heart valve. In initial stages all test may come negative. Periodic repetition of test may help. your doctor will probably repeat Echo to detect infective mass on the valve. Treatment is prolonged antibiotics after confirming the diagnosis. Also other possibility is local wound infection.
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What Can Be The Reason For Fever After Open Heart Surgery?

There is possibility of infective endocarditis which is nothing but the infection of heart valve. In initial stages all test may come negative. Periodic repetition of test may help. your doctor will probably repeat Echo to detect infective mass on the valve. Treatment is prolonged antibiotics after confirming the diagnosis. Also other possibility is local wound infection.