Enterococcus faecalis endophthalmitis as a metastatic complication of hemodialysis vascular access-related sepsis: A case report and review of the literature.

Autor: Sahin, Osman Zikrullah, Kara, Ekrem, Belice, Tahir, Ayaz, Teslime, Baydur Sahin, Serap, Ozturk, Cinar, Yildirim, Safak, Metin, Yavuz, Sahutoglu, Tuncay
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Zdroj: Hemodialysis International; Jul2016, Vol. 20 Issue 3, p358-361, 4p
Abstrakt: Catheter and/or arteriovenous ( A- V) graft-related bacteremia is an important cause of morbidity and mortality among hemodialysis ( HD) patients. Endocarditis, septic arthritis, epidural abscess, septic embolism, and osteomyelitis are the most common complications of catheter and/or A- V graft-related bacteremia; however, endogenous endophthalmitis is rarely seen. To the best of our knowledge, E nterococcus faecalis is the first case report in this population. We hereby report a case of endogenous endophthalmitis caused by E . faecalis as a complication of catheter and/or A- V graft-related bacteremia in a diabetic patient, who was undergoing HD for 5 years. We also discuss the etiology, clinical features, and outcomes of endogenous endophthalmitis in HD patients with a brief review of the literature. Although broad-spectrum parenteral (intravenous and intravitreal) antibiotics were used for 4 weeks, evisceration of the left eye could not be avoided. Endogenous endophthalmitis is a rare but rapidly blinding complication of catheter and/or A- V graft-related bacteremia in HD patients. It can develop as a result of silent catheter and/or A- V graft infections, which may lead to recurrent bacteremia. E . faecalis should be considered as a pathogen in this population who had recent history of catheter or A- V graft procedure. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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