Aortic and tricuspid endocarditis in hemodialysis patient with systemic and pulmonary embolism

1Citations
Citations of this article
21Readers
Mendeley users who have this article in their library.
Get full text

Abstract

This is a case report of a 43-yearold Caucasian male with end-stage renal disease being treated with hemodialysis and infective endocarditis in the aortic and tricuspid valves. The clinical presentation was dominated by neurologic impairment with cerebral embolism and hemorrhagic components. A thoracoabdominal computerized tomography scan revealed septic pulmonary embolus. The patient underwent empirical antibiotherapy with ceftriaxone, gentamicin and vancomycin, and the therapy was changed to flucloxacilin and gentamicin after the isolation of S. aureus in blood cultures. The multidisciplinary team determined that the patient should undergo valve replacement after the stabilization of the intracranial hemorrhage; however, on the 8th day of hospitalization, the patient entered cardiac arrest due to a massive septic pulmonary embolism and died. Despite the risk of aggravation of the hemorrhagic cerebral lesion, early surgical intervention should be considered in high-risk patients.

Cite

CITATION STYLE

APA

Rosa, S. A., Germano, N., Santos, A., & Bento, L. (2015). Aortic and tricuspid endocarditis in hemodialysis patient with systemic and pulmonary embolism. Revista Brasileira de Terapia Intensiva, 27(2), 185–189. https://doi.org/10.5935/0103-507X.20150031

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free