Mortality risk factors in chronic haemodialysis patients with infective endocarditis

Abstract

IE was associated with high mortality in our predominantly African-American dialysis population, when the mitral valve was involved, or septic emboli occurred and if MRSA or VRE were the causal organisms.

Case Report: Catheter-related interatrial septum endocarditis caused by Candida parapsilosis

“…Gram-negative species are rarely found, and fungal agents are even rarer. [5][6][7] Our patient had no heart murmur and no embolic or immunologic signs of endocarditis, making the diagnosis challenging. Especially in dialytic patients with long term venous catheters, the diagnosis of right sided endocarditis requires a high rate of suspicion.…”

Infective Endocarditis in Chronic Hemodialysis Patients: A Review Article for Assessment and Treatment

“…Symptoms of heart failure, embolic complications in descending order of frequency as brain, joints, extremities, spleen, kidney, liver and lung may be the symptoms of IE [9,15]. Valvular complications such as new valvular regurgitation, perivalvular abscess, and conduction abnormalities such as heart block due to local extension of aortic valve endocarditis to membranous interventricular septum may be the first findings of IE in HD patients [9,15,16].…”

“…Valvular complications such as new valvular regurgitation, perivalvular abscess, and conduction abnormalities such as heart block due to local extension of aortic valve endocarditis to membranous interventricular septum may be the first findings of IE in HD patients [9,15,16].…”

Infecciones asociadas a los catéteres utilizados para la hemodiálisis y la diálisis peritoneal

“…En un estudio reciente de 69 pacientes en hemodiálisis que presentaron endocarditis, el 66,7% se dializaban a través de un catéter; S. aureus fue el microorganismo aislado en el 57,9% de los casos, de los cuales el 57,5% fueron sensibles a meticilina 23 . Otros estudios han publicado que S. aureus es el microorganismo implicado con mayor frecuencia en las BRC en pacientes en hemodiálisis, lo que constituye del 33 al 80% de las bacterias aisladas en los hemocultivos [22][23][24] . La disminución de los portadores nasales de S. aureus ha supuesto una drástica reducción en las bacteriemias por esta bacteria 25 .…”