Risk of Infective Endocarditis in Patients with End Stage Renal Disease

Chaudry, Mavish; Carlson, Nicholas; Gislason, Gunnar; Kamper, Anne-Lise; Rix, Marianne; Fowler, Vance G.; Torp‐Pedersen, Christian; Bruun, Niels Eske

doi:10.2215/cjn.02320317

Cited by 58 publications

(57 citation statements)

References 36 publications

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“…In patients with End Stage Renal Disease (ESRD) requiring hemodialysis, the incidence of endocarditis of bioprosthetic or mechanical valves was 7.8% and 5.4% respectively, which is ten to fifteen times higher than the incidence of endocarditis in patients with chronic kidney disease (CKD), which was about 0.41% [21,22]. Endocarditis can be a major but rare complication of cardiac device implantation; for example, in patients with pacemakers and defibrillators, the rate of endocarditis is 0.38% [23].…”

Section: Discussionmentioning

confidence: 99%

Early Endocarditis Following Percutaneous Mitral Repair in a Dialysis Patient

Vp¹,

Kennedy-Snodgrass²,

Kerwin³

2018

J Integr Cardiol

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Transcutaneous mitral valve repair is an interventional procedure increasingly used as a method of treatment for patients with symptomatic mitral regurgitation deemed to be poor surgical candidates. The procedure involves clipping the mitral valve leaflets at the point of maximal regurgitation. This procedure has been shown to be well tolerated with an acceptable risk profile. Infective endocarditis is a known but unusual complication of this procedure. We describe a case of infective endocarditis following implantation of a MitraClip (Abbott Laboratories) in a hemodialysis patient.

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Section: Discussionmentioning

confidence: 99%

Early Endocarditis Following Percutaneous Mitral Repair in a Dialysis Patient

Vp¹,

Kennedy-Snodgrass²,

Kerwin³

2018

J Integr Cardiol

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“…In addition to this, excessive alcohol consumption may be an independent risk factor for E. coli IE. Patients undergoing renal replacement therapy also have a high incidence of endocarditis [ 35 ]; therefore, it should be noted that these comorbidities (diabetes, malignancy, excessive alcohol consumption, and hemodialysis) may be risk factors for E. coli IE. Preceding urinary tract infection was reported in 52% (17/33) of the patients [ 12 – 15 , 20 , 21 , 25 , 28 , 30 – 32 ].…”

Section: Discussionmentioning

confidence: 99%

Native valve endocarditis due to Escherichia coli infection: a case report and review of the literature

Akuzawa

Kurabayashi

2018

BMC Cardiovasc Disord

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BackgroundInfective endocarditis due to Escherichia coli is a rare disease but is increasing in frequency, especially among older women. In addition, its mortality rate is higher than that of endocarditis due to the HACEK-group gram-negative bacteria (Haemophilus spp., Aggregatibacter spp., Cardiobacterium hominis, Eikenella corrodens, and Kingela spp.).Case presentationA 58-year-old Japanese woman with a history of alcohol abuse was admitted to our hospital because of a fever. She was diagnosed with infective endocarditis due to E. coli based on repeated blood cultures and transthoracic echocardiography, which revealed vegetations attached to the anterior leaflet and chordae tendineae of the mitral valve. Despite administration of sulbactam/ampicillin and gentamycin, she developed purulent spondylitis during hospitalization and required treatment with meropenem administration for 6 weeks, leading to resolution of the endocarditis. She took oral levofloxacin for 2 months, and the spondylitis was completely cured 7 months after discharge.ConclusionEscherichia coli affects native valves without degenerative valvulopathy rather than prosthetic valves, especially in patients with risk factors such as an immunosuppressive status, excessive alcohol consumption, or treatment with hemodialysis. Peripheral embolization, congestive heart failure, and valve-ring abscesses are major complications of E. coli endocarditis; notably, infective myocarditis can also occur. The mortality and surgical intervention rates are 21% and 42%, respectively. Physicians should be cognizant of the necessity of surgical intervention when E. coli endocarditis is resistant to antibiotic therapy.

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“…6,7 In the present case, RCC was present but CRP level was not increased, so we attempted to identify alternative potential causes of the fever. IE is an important cause of prolonged fever 8 and it is more common in hemodialysis patients, 9 but its classical symptoms may not be apparent and it may thus be easily overlooked. 1 The current patient was at high risk of IE after pacemaker implantation, 10 but the possibility of IE was considered low based on her echocardiogram and blood culture results.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary sarcoidosis as a cause of intermittent fever of unknown origin in a hemodialysis patient with renal cell carcinoma: A case report and literature review

Shima¹,

Nishitani²,

Tashiro³

et al. 2019

Hemodialysis International

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Hemodialysis patients have weakened immune systems and can exhibit fever due to various causes. Herein, we describe the case of a 61‐year‐old hemodialysis patient who exhibited intermittent low‐grade fever after a pacemaker had been implanted 2 months before due to sick sinus syndrome. She had a medical history of subcutaneous sarcoidosis and uveitis. Active pulmonary sarcoidosis was diagnosed based on elevated soluble interleukin‐2 receptor, elevated lysozyme level, and gallium‐67 scintigraphy uptake in hilar and mediastinal lymph nodes. She was also diagnosed with renal cell carcinoma via contrast computed tomography. However, because her C‐reactive protein level remained normal, the possibility of neoplastic fever was considered low. After the initiation of prednisolone administration, her fever gradually disappeared. Her serum soluble interleukin‐2 receptor and lysozyme level improved in parallel with the enlargement of the mediastinal lymph node and gallium‐67 scintigraphy uptake.

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Risk of Infective Endocarditis in Patients with End Stage Renal Disease

Abstract: Patients receiving RRT have a high incidence of endocarditis, in particular during hemodialysis treatment using central venous catheters. The first 6 months in RRT, aortic valve disease, and previous endocarditis are significant risk factors for developing endocarditis.

Cited by 58 publications

References 36 publications

Early Endocarditis Following Percutaneous Mitral Repair in a Dialysis Patient

Early Endocarditis Following Percutaneous Mitral Repair in a Dialysis Patient

Native valve endocarditis due to Escherichia coli infection: a case report and review of the literature

Pulmonary sarcoidosis as a cause of intermittent fever of unknown origin in a hemodialysis patient with renal cell carcinoma: A case report and literature review

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