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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Res+Notes
2017 ; 10
(1
): 463
Nephropedia Template TP
gab.com Text
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English Wikipedia
Successful treatment of acute renal failure secondary to complicated infective
endocarditis by peritoneal dialysis: a case report
#MMPMID28882165
Al-Osail AM
; Al-Zahrani IM
; Al-Abdulwahab AA
; Alhajri SM
; Al-Osail EM
; Al-Hwiesh AK
; Al-Muhanna FA
BMC Res Notes
2017[Sep]; 10
(1
): 463
PMID28882165
show ga
BACKGROUND: Infective endocarditis is one of the most common infections among
intravenous drug addicts. Its complications can affect many systems, and these
can include acute renal failure. There is a scarcity of cases in the literature
related to acute renal failure secondary to infective endocarditis treated with
peritoneal dialysis. In this paper, the case of a 48-year-old Saudi male is
reported, who presented with features suggestive of infective endocarditis and
who developed acute kidney injury that was treated successfully with high tidal
volume automated peritoneal dialysis. To our knowledge, this is the second report
of such an association in the literature. CASE PRESENTATION: A 48-year-old Saudi
gentleman diagnosed to have a glucose-6-phosphate dehydrogenase deficiency and
hepatitis C infection for the last 9 years, presented to the emergency department
with a history of fever of 2 days' duration. On examination: his
temperature = 41 °C, there was clubbing of the fingers bilaterally and a
pansystolic murmur in the left parasternal area. The results of the blood
cultures and echocardiogram were supportive of the diagnosis of infective
endocarditis, and the patient subsequently developed acute kidney injury, and his
creatinine reached 5.2 mg/dl, a level for which dialysis is essential for the
patient to survive. CONCLUSION: High tidal volume automated peritoneal dialysis
is highly effective as a renal replacement therapy in acute renal failure
secondary to infective endocarditis if no contraindication is present.