Successful treatment of acute renal failure secondary to complicated infective endocarditis by peritoneal dialysis: a case report

Autor: Abdullah K Al-Hwiesh, Abdullah A. Al-Abdulwahab, Emad M. Al-Osail, Fahad Al-Muhanna, Ibrahim M. Al-Zahrani, Aisha M. Al-Osail, Sarah M Al-Hajri
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Research Notes
BMC Research Notes, Vol 10, Iss 1, Pp 1-5 (2017)
ISSN: 1756-0500
Popis: Background Infective endocarditis is one of the most common infections among intravenous drug addicts. Its complications can affect many systems, and these can include acute renal failure. There is a scarcity of cases in the literature related to acute renal failure secondary to infective endocarditis treated with peritoneal dialysis. In this paper, the case of a 48-year-old Saudi male is reported, who presented with features suggestive of infective endocarditis and who developed acute kidney injury that was treated successfully with high tidal volume automated peritoneal dialysis. To our knowledge, this is the second report of such an association in the literature. Case presentation A 48-year-old Saudi gentleman diagnosed to have a glucose-6-phosphate dehydrogenase deficiency and hepatitis C infection for the last 9 years, presented to the emergency department with a history of fever of 2 days’ duration. On examination: his temperature = 41 °C, there was clubbing of the fingers bilaterally and a pansystolic murmur in the left parasternal area. The results of the blood cultures and echocardiogram were supportive of the diagnosis of infective endocarditis, and the patient subsequently developed acute kidney injury, and his creatinine reached 5.2 mg/dl, a level for which dialysis is essential for the patient to survive. Conclusion High tidal volume automated peritoneal dialysis is highly effective as a renal replacement therapy in acute renal failure secondary to infective endocarditis if no contraindication is present.
Databáze: OpenAIRE