Infective endocarditis in chronic hemodialysis patients : experience from Morocco
Joint Authors
Zajjari, Yasir
Bin Yahya, Muhammad
al-Allam, Mustafa
Akhmouch, I.
Muntasir, Dina
al-Siraji, Muhammad
al-Ayyud, Ahmad
Mawjud, Umar
Atif, Tawfiq
Zemrawi, Nadir
Qadiri, Munsif
Hassani, Muhammad
al-Kabbaj, Idris
Bahadi, Abd al-Ali
Oualim, Zuhayr
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 22, Issue 1 (28 Feb. 2011), pp.160-166, 7 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2011-02-28
Country of Publication
Saudi Arabia
No. of Pages
7
Main Subjects
Topics
Abstract EN
Since the 1960s, regular hemodialysis (HD) was recognized as a risk factor for the development of infective endocarditis (IE), particularly at vascular access sites.
The present report describes our experience at the Etat Major General Agadir, Morocco, of taking care of IE in patients on regular dialysis.
A retrospective analysis was made of five cases of IE in patients receiving regular HD having arteriovenous fistula as vascular access.
They were sent from four private centers and admitted in our formation between January 2004 and March 2009.
Infective endocarditis was detected after 34.5 months following initiation of dialysis.
The causative organisms included Staphylococcus and Enterococcus in two cases each and negative blood culture in one case.
A recent history of infection (<3 months) of the vascular access was found in three cases.
Peripheric embolic phenomena were noted in two cases.
A pre-existing heart disease was common and contributed to heart failure.
Mortality was frequent due to valvular perforations and congestive heart failure, making the medical treatment alone unsatisfactory.
Two patients survived and three of our patients received a prosthetic valve replacement, with a median survival after surgery of 10.3 months/person.
The clinical diagnosis of infective endocarditis in regularly dialyzed patients remains difficult, with the presence of vascular calcification as a common risk factor.
The vascular catheter infections are the cardinal gateway of pathogenic organisms, which are mainly Staphlococcus.
The prognosis is bad and the mortality is significant, whereas medical and surgical treatments are often established in these patients who have many factors of comorbidity.
American Psychological Association (APA)
Muntasir, Dina& Bahadi, Abd al-Ali& Zajjari, Yasir& al-Siraji, Muhammad& Mawjud, Umar& Qadiri, Munsif…[et al.]. 2011. Infective endocarditis in chronic hemodialysis patients : experience from Morocco. Saudi Journal of Kidney Diseases and Transplantation،Vol. 22, no. 1, pp.160-166.
https://search.emarefa.net/detail/BIM-245708
Modern Language Association (MLA)
Qadiri, Munsif…[et al.]. Infective endocarditis in chronic hemodialysis patients : experience from Morocco. Saudi Journal of Kidney Diseases and Transplantation Vol. 22, no. 1 (Feb. 2011), pp.160-166.
https://search.emarefa.net/detail/BIM-245708
American Medical Association (AMA)
Muntasir, Dina& Bahadi, Abd al-Ali& Zajjari, Yasir& al-Siraji, Muhammad& Mawjud, Umar& Qadiri, Munsif…[et al.]. Infective endocarditis in chronic hemodialysis patients : experience from Morocco. Saudi Journal of Kidney Diseases and Transplantation. 2011. Vol. 22, no. 1, pp.160-166.
https://search.emarefa.net/detail/BIM-245708
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references.
Record ID
BIM-245708