Korean J Nephrol.
2011 Sep;30(5):551-556.
Infective Endocarditis with Cerebral Infarction in a Hemodialysis Patient with Failed Renal Allograft
- Affiliations
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- 1Department of Internal Medicine, Soonchunhyang University, College of Medicine, Bucheon, Korea. medkjk@schmc.ac.kr
- 2Department of Pathology, Soonchunhyang University, College of Medicine, Bucheon, Korea.
- 3Department of Thoracic Surgery, Soonchunhyang University, College of Medicine, Bucheon, Korea.
Abstract
- Infective endocarditis is a dreaded complication in dialysis or kidney transplantation patients, with high morbidity and mortality. Despite the improved early survival of the transplanted kidney with new immunosuppressive agents, the number of patients returning to dialysis after a failed renal allograft is increasing. There is no consensus on the optimal management of immunosuppression in patients with a failed allograft. Continued immunosuppression is associated with infection, and the rapid discontinuation of immunosuppression may lead to acute rejection. Therefore, it is important to taper the immunosuppression properly in patients with a failed renal allograft. We report on a hemodialysis patient with a failed renal allograft who had a cerebral infarction following infective endocarditis. The patient was treated successfully with antibiotics and valve replacement.
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