A Rare Case of Fatal Endocarditis and Sepsis Caused by Pseudomonas aeruginosa in a Patient with Chronic Renal Failure
Nosocomial catheter-related and Arteriovenous fistula (AV)-related infections are significant concern in patients undergoing haemodialysis. These infections are associated with multiple complications as well as mortality and demands immediate and appropriate management. While coagulase-negative st...
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JCDR Research and Publications Private Limited
2016-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/8175/20220_CE(RA1)_F(T)_PF1(SWAK)_PFA(NC_AK)_PF2(PAG).pdf |
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| author | Manav Aggarwal Vikrant Vijan Anjith Vupputuri Sandya Nandakumar Navin Mathew |
| author_facet | Manav Aggarwal Vikrant Vijan Anjith Vupputuri Sandya Nandakumar Navin Mathew |
| author_sort | Manav Aggarwal |
| collection | DOAJ |
| description | Nosocomial catheter-related and Arteriovenous fistula (AV)-related infections are significant concern in patients undergoing haemodialysis.
These infections are associated with multiple complications as well as mortality and demands immediate and appropriate management.
While coagulase-negative staphylococci, S.aureus, and Escherichia coli are the most common causes of catheter-related infections in
haemodialysis patients, such infections caused by Pseudomonas aeruginosa are relatively rare. Here, we present an unusual case of
36-year-old male patient with chronic renal failure, who developed endocarditis and sepsis from Pseudomonas aeruginosa infection of
the left hand arteriovenous fistula. The bacteraemia in the present case caused multiple complications including dry gangrene of bilateral
lower limbs, stroke, endophthalmitis, left brachial artery thrombosis and vegetations on the interventricular septum and aortic wall.
Despite antibiotic treatment, the patient suffered a cardiac arrest and could not be revived. |
| first_indexed | 2024-12-18T15:10:59Z |
| format | Article |
| id | doaj.art-39a81b1727fb4337afab2f4c36f26c34 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-18T15:10:59Z |
| publishDate | 2016-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-39a81b1727fb4337afab2f4c36f26c342022-12-21T21:03:39ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-07-01107OD12OD1310.7860/JCDR/2016/20220.8175A Rare Case of Fatal Endocarditis and Sepsis Caused by Pseudomonas aeruginosa in a Patient with Chronic Renal FailureManav Aggarwal0Vikrant Vijan1Anjith Vupputuri2Sandya Nandakumar3Navin Mathew4Consultant, Department of Cardiology, Amrita Institute of Medical Sciences (AIMS), Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.Consultant, Department of Cardiology, Amrita Institute of Medical Sciences (AIMS), Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.Consultant, Department of Cardiology, Amrita Institute of Medical Sciences (AIMS), Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.Technician, Department of Cardiology, Amrita Institute of Medical Sciences (AIMS), Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.Professor, Department of Cardiology, Amrita Institute of Medical Sciences (AIMS), Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India. Nosocomial catheter-related and Arteriovenous fistula (AV)-related infections are significant concern in patients undergoing haemodialysis. These infections are associated with multiple complications as well as mortality and demands immediate and appropriate management. While coagulase-negative staphylococci, S.aureus, and Escherichia coli are the most common causes of catheter-related infections in haemodialysis patients, such infections caused by Pseudomonas aeruginosa are relatively rare. Here, we present an unusual case of 36-year-old male patient with chronic renal failure, who developed endocarditis and sepsis from Pseudomonas aeruginosa infection of the left hand arteriovenous fistula. The bacteraemia in the present case caused multiple complications including dry gangrene of bilateral lower limbs, stroke, endophthalmitis, left brachial artery thrombosis and vegetations on the interventricular septum and aortic wall. Despite antibiotic treatment, the patient suffered a cardiac arrest and could not be revived.https://jcdr.net/articles/PDF/8175/20220_CE(RA1)_F(T)_PF1(SWAK)_PFA(NC_AK)_PF2(PAG).pdfarteriovenous fistula infectionsembolectomyendophthalmitisgangrene |
| spellingShingle | Manav Aggarwal Vikrant Vijan Anjith Vupputuri Sandya Nandakumar Navin Mathew A Rare Case of Fatal Endocarditis and Sepsis Caused by Pseudomonas aeruginosa in a Patient with Chronic Renal Failure Journal of Clinical and Diagnostic Research arteriovenous fistula infections embolectomy endophthalmitis gangrene |
| title | A Rare Case of Fatal Endocarditis and Sepsis Caused by Pseudomonas aeruginosa in a Patient with Chronic Renal Failure |
| title_full | A Rare Case of Fatal Endocarditis and Sepsis Caused by Pseudomonas aeruginosa in a Patient with Chronic Renal Failure |
| title_fullStr | A Rare Case of Fatal Endocarditis and Sepsis Caused by Pseudomonas aeruginosa in a Patient with Chronic Renal Failure |
| title_full_unstemmed | A Rare Case of Fatal Endocarditis and Sepsis Caused by Pseudomonas aeruginosa in a Patient with Chronic Renal Failure |
| title_short | A Rare Case of Fatal Endocarditis and Sepsis Caused by Pseudomonas aeruginosa in a Patient with Chronic Renal Failure |
| title_sort | rare case of fatal endocarditis and sepsis caused by pseudomonas aeruginosa in a patient with chronic renal failure |
| topic | arteriovenous fistula infections embolectomy endophthalmitis gangrene |
| url | https://jcdr.net/articles/PDF/8175/20220_CE(RA1)_F(T)_PF1(SWAK)_PFA(NC_AK)_PF2(PAG).pdf |
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