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Aortic and Tricuspid Endocarditis in Hemodialysis Patient with Systemic and Pulmonary Embolism

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dc.contributor.authorAguiar Rosa, S
dc.contributor.authorGermano, N
dc.contributor.authorSantos, A
dc.contributor.authorBento, L
dc.date.accessioned2015-12-03T17:34:35Z
dc.date.available2015-12-03T17:34:35Z
dc.date.issued2015
dc.description.abstractThis 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.pt_PT
dc.identifier.citationRev Bras Ter Intensiva. 2015 Apr-Jun;27(2):185-9pt_PT
dc.identifier.doi10.5935/0103-507X.20150031pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2349
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherPubmed Centralpt_PT
dc.subjectHSM CARpt_PT
dc.subjectCHLC UCIpt_PT
dc.subjectAnti-Bacterial Agents/therapeutic usept_PT
dc.subjectAortic Valve/microbiologypt_PT
dc.subjectAortic Valve/pathologypt_PT
dc.subjectEndocarditis, Bacterial/drug therapypt_PT
dc.subjectEndocarditis, Bacterial/microbiologypt_PT
dc.subjectEndocarditis, Bacterial/pathologypt_PT
dc.subjectFatal Outcomept_PT
dc.subjectHeart Arrest/etiology
dc.subjectHeart Valve Diseases/drug therapy
dc.subjectHeart Valve Diseases/microbiology
dc.subjectHeart Valve Diseases/pathology
dc.subjectKidney Failure, Chronic/therapy
dc.subjectPulmonary Embolism/complications
dc.subjectPulmonary Embolism/microbiology
dc.subjectPulmonary Embolism/pathology
dc.subjectRenal Dialysis/methods
dc.subjectStaphylococcal Infections/drug therapy
dc.subjectStaphylococcal Infections/microbiology
dc.subjectStaphylococcal Infections/pathology
dc.subjectStaphylococcus aureus/isolation & purification
dc.subjectTricuspid Valve/microbiology
dc.subjectTricuspid Valve/pathology
dc.titleAortic and Tricuspid Endocarditis in Hemodialysis Patient with Systemic and Pulmonary Embolismpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage189pt_PT
oaire.citation.startPage185pt_PT
oaire.citation.titleRevista Brasileira de Terapia Intensivapt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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