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 |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty Staphylococcus aureus medicine.medical_treatment 030232 urology & nephrology lcsh:Medicine Case Report 030204 cardiovascular system & hematology General Biochemistry Genetics and Molecular Biology Peritoneal dialysis 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine Humans Renal replacement therapy lcsh:Science (General) lcsh:QH301-705.5 Contraindication Dialysis Creatinine business.industry lcsh:R Acute kidney injury General Medicine Hepatitis C Endocarditis Bacterial Acute Kidney Injury Middle Aged medicine.disease Automated peritoneal dialysis Surgery lcsh:Biology (General) chemistry Infective endocarditis business Peritoneal Dialysis lcsh:Q1-390 |
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 |
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