Complicated left-sided infective endocarditis in chronic hemodialysis patients: a case report

dc.contributor.authorGulmez, Oyku
dc.contributor.authorAydin, Mehtap
dc.contributor.orcID0000-0002-9429-5430en_US
dc.contributor.pubmedID28106022en_US
dc.contributor.researcherIDABC-7134-2021en_US
dc.contributor.researcherIDAAE-6201-2021en_US
dc.date.accessioned2019-06-14T06:42:14Z
dc.date.available2019-06-14T06:42:14Z
dc.date.issued2017
dc.description.abstractInfective endocarditis (IE) is a serious infectious condition with high morbidity and mortality in patients with end-stage renal disease (ESRD). It has been particularly associated with recurrent bacteremia due to vascular access via lumen catheters. The most common pathogen is Staphylococcus (S.) aureus, and most affected valve is mitral valve, which frequently calcified. Two patients with ESRD who received hemodialysis treatment via tunneled catheters, aged 56 and 88 years, were admitted with fever and high troponin level. Blood cultures revealed growth of S. aureus. Good quality transthoracic echocardiography (TTE) displayed calcified mitral and aortic valves with no vegetation or abscess formation. Myocardial necrosis as result of catheter infection was considered. Both patients had persistent positive blood cultures 3 and 5 days after initiation of antibiotic treatment. Therefore, transesophageal echocardiogram (TEE) was scheduled. Results revealed perivalvular abscess in the older patient, and highly mobile vegetation in the younger patient. The older patient refused surgery and died soon after due to refractory shock. Mitral valve surgery was planned for the other patient; however, she developed left ventricular failure and bleeding, and also subsequently died as result of refractory shock. Patient evaluations were particularly unfavorable: they had catheter infection as primary focus, and TTE did not detect vegetation or annular abscess. Diagnosis of IE in patients with ESRD using Duke criteria is problematic; we have to keep use of TEE in mind to detect vegetation or abscess formation when there is clinical suspicion regarding ESRD patients even after good quality TTE.en_US
dc.identifier.endpage76en_US
dc.identifier.issn1016-5169
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85008442840en_US
dc.identifier.startpage73en_US
dc.identifier.urihttp://archivestsc.com/jvi.aspx?un=TKDA-44449
dc.identifier.urihttp://hdl.handle.net/11727/3535
dc.identifier.volume45en_US
dc.identifier.wos000396440200011en_US
dc.language.isoengen_US
dc.relation.isversionof10.5543/tkda.2016.44449en_US
dc.relation.journalTURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCatheter infectionen_US
dc.subjectEnd-stage renal diseaseen_US
dc.subjectHemodialysisen_US
dc.subjectInfective endocarditisen_US
dc.titleComplicated left-sided infective endocarditis in chronic hemodialysis patients: a case reporten_US
dc.typearticleen_US

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