Soonchunhyang Med Sci.  2015 Dec;21(2):126-129. 10.0000/sms.2015.21.2.126.

Infective Endocarditis with Unusual Location of Vegetation in a Patient with Hemodialysis Followed by Recurrent Catheter-Related Blood Stream Infection

• Yong HM
• Bang DW
• Park BW
• Lee MH
• Kim TH
• Han JH

• KMID: 2317772
• DOI: http://doi.org/10.0000/sms.2015.21.2.126

Abstract

The incidence of infective endocarditis (IE) in hemodialysis patients is higher than the general population. Hemodialysis patients with IE have a poorer prognosis than other patients with IE. The most common sites of IE in hemodialysis patients are the mitral valve and aortic valve. A 47-year-old woman had suffered from recurrent catheter-related blood stream infection and she was strongly suspected of IE. Despite repeated transthoracic echocardiography and transesophageal echocardiography (TEE), IE was revealed several months later by TEE due to the unusual location of the vegetation. The vegetation was detected on the left ventricle outflow tract. She recovered well without any complication after mitral valve replacement surgery.

Keyword

Endocarditis; Renal dialysis; Catheter-related infections

MeSH Terms

Aortic Valve
Catheter-Related Infections
Echocardiography
Echocardiography, Transesophageal
Endocarditis*
Female
Heart Ventricles
Humans
Incidence
Middle Aged
Mitral Valve
Prognosis
Renal Dialysis*
Rivers*