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July 2006

Septic Vasculitis From a Femoral Artery Catheterization

Arch Dermatol. 2006;142(7):927-947. doi:10.1001/archderm.142.7.936-b

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.

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