Key result
Recent CABG surgery in a man in his 70s was followed by a presentation of blue toes, acute renal failure with a creatinine level of /dL, and peripheral eosinophilia.
A clinical case presentation of a patient with post-CABG blue toes, renal failure, and eosinophilia, suggestive of cholesterol embolization syndrome.
Answers are grounded in this paper and cite their sources.
Prompt recognition of post-CABG atheroembolism with eosinophilia and renal failure guides supportive care; leaves open standardized diagnostic criteria and therapies.
A man in his 70s with a history of recent CABG surgery presented with blue, tender plantar macules on several toes and red, tender macules on his hands. Laboratory findings included a BUN level of 70 mg/dL, serum creatinine level of 6.1 mg/dL, and peripheral eosinophilia. What would you do next?
No takes yet. Share an insight, caveat, or question.
Ghahramani et al. (2016) studied this question. Recent CABG surgery in a man in his 70s was followed by a presentation of blue toes, acute renal failure with a creatinine level of /dL, and peripheral eosinophilia.
Synapse has enriched 10 related papers. Consider them for comparative context: