A 72-year-old woman with diabetic chronic kidney disease visited the authors’ hospital with fever, dysuria, and left flank pain. She did not complain of typical angina upon her admission, however, given the presence of a new-onset left-bundle branch block, elevated cardiac enzymes, and documented E. coli septicemia, coronary angiography and percutaneous coro-nary interventions were performed for the mid-left anterior descending artery and the mid-to distal-right coronary artery. We should keep in mind that urosepsis in patients with diabetic chronic kidney disease, who are at high risk of cardiovascular disease, can be associated with painless acute myocardial Infarction.

• 김기준(가톨릭대학교 의과대학 성빈센트병원 내과학교실 1신장내과) | Gi Jun Kim
• 장경윤(가톨릭대학교 의과대학 성빈센트병원 내과학교실 1신장내과) | Kyung Yoon Chang Corresponding author
• 박훈석(가톨릭대학교 의과대학 성빈센트병원 내과학교실 1신장내과) | Hoon Suk Park
• 진동찬(가톨릭대학교 의과대학 성빈센트병원 내과학교실 1신장내과) | Dong Chan Jin
• 김형욱(가톨릭대학교 의과대학 성빈센트병원 내과학교실 1신장내과) | Hyung Wook Kim