Nephrologists Hate the Dialysis Catheters: A Systemic Review of Dialysis Catheter Associated Infective Endocarditis
Joint Authors
Janga, Kalyana C.
Greenberg, Sheldon
Sinha, Ankur
Sharma, Kavita
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-20
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
A 53-year-old Egyptian female with end stage renal disease, one month after start of hemodialysis via an internal jugular catheter, presented with fever and shortness of breath.
She developed desquamating vesiculobullous lesions, widespread on her body.
She was in profound septic shock and broad spectrum antibiotics were started with appropriate fluid replenishment.
An echocardiogram revealed bulky leaflets of the mitral valve with a highly mobile vegetation about 2.3 cm long attached to the anterior leaflet.
CT scan of the chest, abdomen, and pelvis showed bilateral pleural effusions in the chest, with triangular opacities in the lungs suggestive of infarcts.
There was splenomegaly with triangular hypodensities consistent with splenic infarcts.
Blood cultures repeatedly grew Candida albicans.
Despite parenteral antifungal therapy, the patient deteriorated over the course of 5 days.
She died due to a subsequent cardiac arrest.
Systemic review of literature revealed that the rate of infection varies amongst the various types of accesses, and it is well documented that AV fistulas have a much less rate of infection in comparison to temporary catheters.
All dialysis units should strive to make a multidisciplinary effort to have a referral process early on, for access creation, and to avoid catheters associated morbidity.
American Psychological Association (APA)
Janga, Kalyana C.& Sinha, Ankur& Greenberg, Sheldon& Sharma, Kavita. 2017. Nephrologists Hate the Dialysis Catheters: A Systemic Review of Dialysis Catheter Associated Infective Endocarditis. Case Reports in Nephrology،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1147030
Modern Language Association (MLA)
Janga, Kalyana C.…[et al.]. Nephrologists Hate the Dialysis Catheters: A Systemic Review of Dialysis Catheter Associated Infective Endocarditis. Case Reports in Nephrology No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1147030
American Medical Association (AMA)
Janga, Kalyana C.& Sinha, Ankur& Greenberg, Sheldon& Sharma, Kavita. Nephrologists Hate the Dialysis Catheters: A Systemic Review of Dialysis Catheter Associated Infective Endocarditis. Case Reports in Nephrology. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1147030
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147030