Tunisia
Case Report
Endocarditis with Permanent Hemodialysis Tunneled Catheter: A Severe and Multidisciplinary Situation
Author(s): Maaoui D, Jerbi M, Gaied H, Mannai K, Kallel H, Harzallah A, Trabelsi R, Ghabi H, Kaaroud H, Ghoucha R, Elyounsi F, Hamida FB and Abdallah TBMaaoui D, Jerbi M, Gaied H, Mannai K, Kallel H, Harzallah A, Trabelsi R, Ghabi H, Kaaroud H, Ghoucha R, Elyounsi F, Hamida FB and Abdallah TB
Tunnelled catheter endocarditis is a frequent and sever situation among hemodialysis patients. The management should be fast and multidisciplinary. Case report: We report the case of a 36 year old woman with a history of systemic erythematous lupus, discovered at the age of twenty. She profited from a tunneled catheter because of exhaustion of her venous capital. One year later, the patient had an endocarditis of the tricuspid valve. An echocardiogram demonstrated mobile and friable 8 mm vegetation in the tricuspid valve. Blood cultures were positive for pseudomonas and klebsiella. The catheter was removed at the fifth day of the infection. The patient received antibiotic treatment which was changed on several occasions in front of multiresistant strains. Ten days later, the blood culture showed Candida albicans. The echocardiogram demonstrated an inc.. Read More»
DOI:
10.4172/2376-0281.1000267
International Journal of Neurorehabilitation received 1078 citations as per Google Scholar report