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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever After Heart Attack?

Hi, may I answer your health queries right now ? Please type your query here..My husband had a heart attack 11 days ago and had three stents put in, one the day after the attack and two more the following day. He developed a fever and chills and had to go back into the hospital a week later. IV fluids and antibiotic seemed to help and he was released two days ago. Doctors did blood culture, urine culture, EKG, ECHO, ultrasound of gall bladder and found nothing. He isn't having any pain and the site of the procedure looks fine. Now the fever is back. Any ideas?
posted on Thu, 13 Mar 2014
Twitter Mon, 12 Jun 2017 Answered on
Twitter Tue, 13 Jun 2017 Last reviewed on
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Cardiologist,  's  Response
Hello,

His symptoms could be related to a recurrent or long-term (chronic) infection. As antibiotics helped improve his situation the first time, they may be useful even in this clinical situation. I understand the fact that the blood culture and urine culture resulted normal the first time, but this does not exclude a possible infection. Coming to this point, I would recommend consulting with his attending physician for a careful physical exam and some tests:
• Complete blood count for infection
• A chest x-ray study
• PCR and ESR for inflammation
• A urine analysis
• A urine bacterial culture
• A blood bacterial culture

You should discuss with his doctor on the above issues.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka
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What Causes Fever After Heart Attack?

Hello, His symptoms could be related to a recurrent or long-term (chronic) infection. As antibiotics helped improve his situation the first time, they may be useful even in this clinical situation. I understand the fact that the blood culture and urine culture resulted normal the first time, but this does not exclude a possible infection. Coming to this point, I would recommend consulting with his attending physician for a careful physical exam and some tests: • Complete blood count for infection • A chest x-ray study • PCR and ESR for inflammation • A urine analysis • A urine bacterial culture • A blood bacterial culture You should discuss with his doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka