Korean J Med.
2014 Mar;86(3):349-352. 10.3904/kjm.2014.86.3.349.
A Case of Infective Endocarditis in an End-Stage Renal Disease Patient Caused by Candida famata
- Affiliations
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- 1Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
- 2Division of Nephrology, Department of Internal Medicine, Hyundae Jungang General Hospital, Wonju, Korea.
- 3Division of Nephrology, Department of Internal Medicine, The Catholic University of Korea Seoul Saint Mary's Hospital, Seoul, Korea. sooncb@catholic.ac.kr
- KMID: 1867368
- DOI: http://doi.org/10.3904/kjm.2014.86.3.349
Abstract
- Infective endocarditis is rare in end-stage renal disease (ESRD) patients, who have a poorer prognosis than the general population. Candida endocarditis is rare and has a poor prognosis among causes of infective endocarditis. A 45-year-old male was admitted with sepsis combined with a hematoma on his right back. Candida famata was cultured in his blood. We treated him with antifungal agents. Echocardiography was performed to identify vegetations and diagnose endocarditis. In this case, surgical therapy was impossible because the patient's condition had deteriorated. We also administered antibiotics because methicillin-resistant Staphylococcus aureus was cultured from his sputum and a perianal abscess. The symptoms did not improve despite the ongoing treatment. Metabolic acidosis, hypotension, and a decreased state of consciousness developed and he died. We report a rare case of Candida endocarditis in an ESRD patient on hemodialysis.
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