scholarly journals Infective Endocarditis in Patients With End-stage Renal Disease

2004 ◽  
Vol 164 (1) ◽  
pp. 71 ◽  
Author(s):  
Christian Spies ◽  
James R. Madison ◽  
Irwin J. Schatz
Keyword(s):  
Infective Endocarditis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Risk of Infective Endocarditis in Patients with End Stage Renal Disease

2017 ◽  
Vol 12 (11) ◽  
pp. 1814-1822 ◽  
Author(s):  
Mavish S. Chaudry ◽  
Nicholas Carlson ◽  
Gunnar H. Gislason ◽  
Anne-Lise Kamper ◽  
Marianne Rix ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Cumulative incidence and mortality of infective endocarditis in Siriraj hospital–Thailand: a 10-year retrospective study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Taksaon Angsutararux ◽  
Nasikarn Angkasekwinai
Keyword(s):  
Diabetes Mellitus ◽  
Infective Endocarditis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Cumulative Incidence ◽  
Incidence And Mortality ◽  
Renal Complication ◽  
Siriraj Hospital ◽  
Stage Renal Disease ◽  
End Stage

Abstract Background To investigate the cumulative incidence of and factors associated with mortality among patients with infective endocarditis (IE) at Thailand’s largest national tertiary referral center. Methods Medical charts of adult patients diagnosed with IE by Duke criteria at Siriraj Hospital during January 2005 to May 2015 were retrospectively reviewed. Results Of 380 patients, 66.3% had definite IE, and 81.3% had native valve IE (NVE). Cumulative IE incidence was 5.67/1000 admissions. The most common pathogens were viridans group streptococci (VGS) (39.7%), methicillin-sensitive Staphylococcus aureus (MSSA) (13.1%), and beta-hemolytic streptococci (11.5%) in NVE; and, MSSA (20.3%), VGS (20.3%), and Enterococcus spp. (16.9%) in prosthetic valve (PVE) or device-related IE (DRIE). Overall in-hospital mortality was 18.4%. Mortality was significantly higher in PVE/DRIE than in NVE (26.8% vs. 16.5%, p = 0.047). End-stage renal disease (ESRD) (aOR: 9.43, 95% CI: 2.36–37.70), diabetes mellitus (DM) (aOR: 2.81, 95% CI: 1.06–7.49), neurological complication (aOR: 14.16, 95% CI: 5.11–39.22), congestive heart failure (aOR: 4.32, 95% CI: 1.91–9.75), hospital-acquired infection (aOR: 3.78, 95% CI: 1.66–8.57), renal complication (aOR: 3.12, 95%CI: 1.32–7.37), and other complication during admission (aOR: 3.28, 95% CI: 1.41–7.61) were independently associated with mortality. Conclusions The incidence of IE, and the mortality rate among those diagnosed with IE are both increasing in Thailand – particularly among those with PVE or DRIE. End-stage renal disease, diabetes mellitus, and development of IE-related complications during admission were found to be independent predictors of mortality.

scholarly journals Infective Endocarditis in End-Stage Renal Disease Patients in Developing Countries: What is the Real Problem?

10.5772/64929 ◽  
2016 ◽  
Author(s):  
Héctor Rafael Díaz-García ◽  
Nancy Anabel Contreras-de la Torre ◽  
Alfonso Alemán-Villalobos ◽  
María de Jesús Carrillo-Galindo ◽  
Olivia Berenice Gómez-Jiménez ◽  
...  
Keyword(s):  
Developing Countries ◽  
Infective Endocarditis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Real Problem ◽  
The Real ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals A Case of Infective Endocarditis in an End-Stage Renal Disease Patient Caused byCandida famata

2014 ◽  
Vol 86 (3) ◽  
pp. 349 ◽  
Author(s):  
Jeong Gwan Kim ◽  
Hyun Chul Whang ◽  
Ji Yeon Jang ◽  
Seong Eun Ha ◽  
Dong Hwi Kim ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Disease Patient ◽  
Stage Renal Disease ◽  
End Stage

Cardiac valve replacement for infective endocarditis in patients with end stage renal disease on hemodialysis — A single institution experience

Vascular ◽  
2019 ◽  
Vol 28 (1) ◽  
pp. 104-108 ◽  
Author(s):  
Ratna C Medicherla ◽  
John Phair ◽  
Matthew Carnevale ◽  
William Jakobleff ◽  
Evan Lipsitz ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Renal Disease ◽  
Valve Replacement ◽  
End Stage Renal Disease ◽  
Arteriovenous Graft ◽  
Hemodialysis Access ◽  
Cardiac Valve Replacement ◽  
Stage Renal Disease ◽  
End Stage ◽  
Tunneled Catheter

Complications from vascular access are the leading cause of morbidity in the hemodialysis population. The use of tunneled catheters is associated with a greater risk of bacteremia and mortality when compared to other types of hemodialysis access. Infective endocarditis is a serious complication occurring in 2–5% of patients undergoing hemodialysis and is likely secondary to transient bacteremia from repetitive vascular access. Objective To review outcomes in hemodialysis-dependent patients requiring cardiac valve replacement for infective endocarditis. Methods A retrospective chart review was conducted to identify all patients who underwent valve replacement within a six-year period (January 2009–December 2014). Inclusion criteria included a diagnosis of infective endocarditis and end stage renal disease on hemodialysis. Relevant clinical information including demographics, comorbidities, valve involvement, causative organisms, and type of hemodialysis access (arteriovenous fistula, arteriovenous graft, or tunneled catheter) was collected. Results A total of 1497 patients underwent cardiac valve replacement within the six-year period. Of these, 167 patients (11.2%) had infective endocarditis and 119 patients (7.9%) had end stage renal disease on hemodialysis. Overall 30-day mortality for valve replacement was 5.0% (75/1497). Mortality for patients with infective endocarditis was 7.2% (12/167) and for patients with end stage renal disease on hemodialysis was 10.1% (12/119). Thirty-three patients (2.2%) had infective endocarditis and end stage renal disease on hemodialysis. Of these, 12 patients were being dialyzed via arteriovenous fistula, 4 via arteriovenous graft, and 17 via tunneled catheter. Mortality occurred in 2 of 12 patients with arteriovenous fistula, 1 of 4 patients with arteriovenous graft, and 2 of 17 patients with tunneled catheter for an overall mortality of 15.2% (5/33). Conclusion Infective endocarditis remains a significant problem in patients with end stage renal disease on hemodialysis, particularly when tunneled catheters are utilized for hemodialysis access. Although appropriate algorithms have been developed to minimize long term use of tunneled catheters, bacteremia remains a significant problem. We reviewed our institutional experience and the medical literature to determine outcomes in hemodialysis-dependent patients with infective endocarditis requiring valve replacement. Despite mortality rates between 42 and 73% reported in the literature, our mortality rate was 15.2%. 1 Care of these critically ill patients must emphasize early diagnosis and aggressive management to optimize outcomes.

scholarly journals Metastatic Calcinosis of Aortic Valve Secondary to Renal Failure Mimicking Infective Endocarditis

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Noman Ahmed Jang Khan ◽  
Masroor A. Khan ◽  
Guillermo Juan Morell Chardon
Keyword(s):  
Renal Failure ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
The Body ◽  
Severe Aortic Regurgitation ◽  
Extensive Calcification ◽  
Stage Renal Disease ◽  
End Stage

End stage renal disease has a list of consequences, cardiovascular being the most common. Inefficient dialysis can cause significant deposition of calcium all over the body, including heart valves making heart function impaired. We illustrate a case of 38-year-old female with end stage renal disease on peritoneal dialysis. The patient had been complaining of pain and swelling of the right hand for the last few months and had been seen by hand surgeon and was admitted electively for the biopsy of hand lesions. Before her planned surgery, she developed severe shortness of breath. Urgent echocardiogram revealed severe aortic regurgitation and large vegetation on the aortic valve. Infective endocarditis was suspected but blood cultures were negative for any microorganism and the patient did not meet the Duke criteria. Because of her hemodynamic instability immediate mechanical valve replacement surgery was performed. The pathology report showed extensive calcification and myxoid degeneration. No infectious agent was found. Later on, biopsy of her hand lesions showed extensive calcification with macrophages and giant cells. No atypia or malignancy was identified. This is a rare case of the metastatic calcinosis of aortic valve secondary to renal failure mimicking aortic valve infective endocarditis.

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