Multi-organs failure for infectious fulminating endocarditis during hemodialysis
Keywords:
hemodialysis, infectious endocarditis, multi-organ failure.Abstract
Introduction: When placing the central venous catheter in patients with chronic renal failure during hemodialysis, prevention is essential to avoid infective endocarditis. Staphylococcus aureus is an aggressive germ, which in immunocompromised patients with pulmonary and systemic cardioembolic phenomena, causes damage to functions of organs and systems. The phenomenon of multi-organ failure is a feared complication.Objective: To present a case of aggressive infective endocarditis in a hemodialysis patient.
Clinical case: Female patient, 31 years old, with a diagnosis of infective endocarditis, with timely, adequate and multidisciplinary treatment. After an improvement, he went on to a marked deterioration, died due to multi-organ failure, due to septicemia and multiple cardioembolisms.
Comment: The resistance of aggressive germs becomes more frequent. The life of the patient, immunocompromised and manipulated, is at significant risk with multi-organ failure.
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References
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3. Vega Candelario R. Endocarditis infecciosa de corazón derecho con tromboembolismo pulmonar en paciente con insuficiencia renal terminal. Rev Cor Salud. 2018[acceso: 05/04/2019]; 10(3):256-260. Disponible en: https://scielo.sld.cu/pdf/cs/v10n3/en_cs11318.pdf
4. Johnson JA, Boyce TG, Cetta F. Infective endocarditis in the pediatric patient: a 60-year single-institution review. Mayo Clin Proc. 2012[acceso: 05/04/2019]; 87(7): 629-35. Disponible en: https://www.mayoclinicproceedings.org/article/S0025-6196(12)00485-5/fulltext
5. Nishimura RA, Otto CM, Bonow RO. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014[acceso: 21/04/2019];129:2440-2492. Disponible en: https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000029
6. Vanholder R, Canaud B, Fluck R, Jadoul M, Labriola L, Marti-Monros A, et al. Diagnosis, prevention and treatment of haemodialysis catheter-related bloodstream infections (CRBSI): a position statement of European Reanal Best Practice (ERBP). Neprol Dial Transplant. Julio 2010[acceso: 07/04/2019]; 3(3):234-46. Disponible en: https://academic.oup.com/ckj/article/3/3/234/2918990
7. Landry DL, Braden GL, Gobeille SL, Haessler SD, Vaidya CK, Sweet SJ. Emergence of gentamicin-resistant bacteremia in hemodialysis patient receiving gentamicin locks catheter prophylaxis. Clin J Am Soc Nephrol 2010[Acceso: 08/04/2019];5(10):1799-804. Disponible en: https://cjasn.asnjournals.org/content/clinjasn/5/10/1799.full.pdf
8. Jaffer Y, Selby NM, Taal MW, Fluck RJ, McIntyre CW. A meta-analysis of hemodialysis catheter locking solutions in the prevention of catheter-related infection. Am J Kidney Dis 2008[acceso: 10/04/2019]; 51(2):233-41. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0272638607014898
9. Barisani JL, Benchetrich G, Varini S, Nacinovich F, Casabe J, Clara L, et al. Consenso de Endocarditis Infecciosa. Sociedad Argentina de Cardiología - Sociedad Argentina de Infectología (SAC-SADI). Rev Argent Cardiol. 2016[acceso: 15/04/2019] ;84(suplemento 5):1-63. Disponible en: https://www.sac.org.ar/wp-content/uploads/2017/01/consenso-de-endocarditis-2017.pdf
Published
2021-01-01
How to Cite
1.
Vega Candelario R, Vega Jiménez J. Multi-organs failure for infectious fulminating endocarditis during hemodialysis. Rev Cubana Med Milit [Internet]. 2021 Jan. 1 [cited 2025 Feb. 20];50(1):e0210437. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/437
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