Fracture Embolism of Guidewire-Bewildering Aetiology of Protracted Pyrexia in a Patient with End Stage Renal Disease!

Guidewire embolism during venous access for haemodialysis is not uncommon yet potentially avoidable iatrogenic complication. Unrecognised, long-standing guidewire may predispose to thrombosis and become a nidus for infection. This entity should always be borne in mind and considered as one of the differentials of unexplained pyrexia in patient on maintenance haemodialysis.