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

Medicine

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