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Revista Cubana de Medicina Militar

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2021, Number 1

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Rev Cub Med Mil 2021; 50 (1)

Multi-organs failure for infectious fulminating endocarditis during hemodialysis

Vega CR, Vega JJ
Full text How to cite this article

Language: Spanish
References: 9
Page:
PDF size: 235.49 Kb.


Key words:

hemodialysis, infectious endocarditis, multi-organ failure.

ABSTRACT

Introduction: When placing the central venous catheter in patients with chronic renal failure during hemodialysis, prevention is essential to avoid infective endocarditis. Staphylococcus aureus is an aggressive germ, which in immunocompromised patients with pulmonary and systemic cardioembolic phenomena, causes damage to functions of organs and systems. The phenomenon of multi-organ failure is a feared complication.
Objective: To present a case of aggressive infective endocarditis in a hemodialysis patient.
Clinical case: Female patient, 31 years old, with a diagnosis of infective endocarditis, with timely, adequate and multidisciplinary treatment. After an improvement, he went on to a marked deterioration, died due to multi-organ failure, due to septicemia and multiple cardioembolisms.
Comment: The resistance of aggressive germs becomes more frequent. The life of the patient, immunocompromised and manipulated, is at significant risk with multi-organ failure.


REFERENCES

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  2. Habib G, Hoen B, Tornos P, Thuny F, Prendergast B, Vilacosta I, et al. ESC Guidelines on prevention, diagnosis and treatment of infective endocarditis (version 2009): The Task Force of prevention, diagnosis and treatment of infective endocarditis of the European Society of Cardiology. European Heart Journal. 2009[acceso: 16/04/2019]; 30(9):2369-2413. Disponible en: https://academic.oup.com/eurheartj/article/30/19/2369/493681

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Rev Cub Med Mil . 2021;50