Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/2349
Título: Aortic and Tricuspid Endocarditis in Hemodialysis Patient with Systemic and Pulmonary Embolism
Autor: Rosa, SA
Germano, N
Santos, A
Bento, L
Palavras-chave: HSM CAR
CHLC UCI
Anti-Bacterial Agents/therapeutic use
Aortic Valve/microbiology
Aortic Valve/pathology
Endocarditis, Bacterial/drug therapy
Endocarditis, Bacterial/microbiology
Endocarditis, Bacterial/pathology
Fatal Outcome
Heart Arrest/etiology
Heart Valve Diseases/drug therapy
Heart Valve Diseases/microbiology
Heart Valve Diseases/pathology
Kidney Failure, Chronic/therapy
Pulmonary Embolism/complications
Pulmonary Embolism/microbiology
Pulmonary Embolism/pathology
Renal Dialysis/methods
Staphylococcal Infections/drug therapy
Staphylococcal Infections/microbiology
Staphylococcal Infections/pathology
Staphylococcus aureus/isolation & purification
Tricuspid Valve/microbiology
Tricuspid Valve/pathology
Data: 2015
Editora: Pubmed Central
Citação: Rev Bras Ter Intensiva. 2015 Apr-Jun;27(2):185-9
Resumo: This is a case report of a 43-year-old Caucasian male with end-stage renal disease being treated with hemodialysis and infective endocarditis in the aortic and tricuspid valves. The clinical presentation was dominated by neurologic impairment with cerebral embolism and hemorrhagic components. A thoracoabdominal computerized tomography scan revealed septic pulmonary embolus. The patient underwent empirical antibiotherapy with ceftriaxone, gentamicin and vancomycin, and the therapy was changed to flucloxacilin and gentamicin after the isolation of S. aureus in blood cultures. The multidisciplinary team determined that the patient should undergo valve replacement after the stabilization of the intracranial hemorrhage; however, on the 8th day of hospitalization, the patient entered cardiac arrest due to a massive septic pulmonary embolism and died. Despite the risk of aggravation of the hemorrhagic cerebral lesion, early surgical intervention should be considered in high-risk patients.
Peer review: yes
URI: http://hdl.handle.net/10400.17/2349
DOI: 10.5935/0103-507X.20150031
Aparece nas colecções:CAR - Artigos
UCI - Artigos

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