CASE REPORT
Combined right and left sided endocarditis in a hemodialysis patient: A cautionary tale
 
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1
Department of Nephrology, Dialysis and Transplantation, University Hospital Center 'Mother Theresa,' Tirana, Albania
 
2
Department of Cardiac Surgery, University Hospital Center 'Mother Theresa,' Tirana, Albania
 
 
Submission date: 2023-07-16
 
 
Final revision date: 2023-12-01
 
 
Acceptance date: 2023-12-02
 
 
Online publication date: 2024-02-02
 
 
Corresponding author
Ermal Likaj   

Department of Cardiac Surgery, University Hospital Center ‘Mother Theresa’, Rruga e Dibres 372, Tirana, Albania.
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Infective endocarditis is a potentially life-threatening condition, more prevalent among chronic maintenance hemodialysis patients, as opposed to the general population.

Aim:
Combined involvement of both the right and left heart chambers is exceptionally rare.

Case study:
Herein, we present the case of a patient on long-term maintenance hemodialysis with right and left sided infective endocarditis.

Results and discussion:
We discuss potential risk factors leading to the widespread infection and emphasize the importance of an early diagnosis and prompt treatment in yielding better outcomes.

Conclusions:
The patient was treated successfully by a multidisciplinary team.

FUNDING
No funding was received to aid in the preparation of this article.
CONFLICT OF INTEREST
The authors have no conflict of interest to declare.
 
REFERENCES (11)
1.
Walsh MJ, Shetty AK. Infective endocarditis. In: Ungerleider RM, Meliones JN, McMillan KN, Cooper DS, Jacobs JP, ed. Critical Heart Disease in Infants and Children. 3rd Ed. Philadelphia: Elsevier; 2019:823–835.
 
2.
Pericàs JM, Llopis J, Jiménez-Exposito MJ, et al. Infective endocarditis in patients on chronic hemodialysis. J Am Coll Cardiol. 2021;77(13):1629–1640. https://doi.org/10.1016/j.jacc....
 
3.
Doulton T, Sabharwal N, Cairns HS, et al. Infective endocarditis in dialysis patients: new challenges and old. Kidney Int. 2003;64(2):720–727. https://doi.org/10.1046/j.1523....
 
4.
Farrington CA, Allon M. Management of the hemodialysis patient with catheter-related bloodstream infection. Clin J Am Soc Nephrol. 2019;14(4):611–613. https://doi.org/10.2215%2FCJN.....
 
5.
Nucifora G, Badano LP, Viale P, et al. Infective endocarditis in chronic haemodialysis patients: an increasing clinical challenge. Eur Heart J. 2007;28(19):2307–2312. https://doi.org/10.1093/eurhea....
 
6.
Chaudry MS, Carlson N, Gislason GH, et al. Risk of infective endocarditis in patients with end stage renal disease. Clin J Am Soc Nephrol. 2017;12(11):1814–1822. https://doi.org/10.2215/cjn.02....
 
7.
Rajani R, Klein JL. Infective endocarditis: A contemporary update. Clin Med. 2020;20(1):31–35. https://doi.org/10.7861/clinme....
 
8.
Yew MS, Leong AM. Contemporary management and outcomes of infective tunnelled haemodialysis catheter-related right atrial thrombi: a case series and literature review. Singapore Med J. 2020;61(6):331–337. https://doi.org/10.11622/smedj....
 
9.
Bentata Y. Physiopathological approach to infective endocarditis in chronic hemodialysis patients: left heart versus right heart involvement. Ren Fail. 2017;39(1):432–439. https://doi.org/10.1080/088602....
 
10.
Musci M, Siniawski H, Pasic M, et al. Surgical treatment of right-sided active infective endocarditis with or without involvement of the left heart: 20-year single center experience. Eur J Cardiothorac Surg. 2007;32(1):118–125. https://doi.org/10.1016/j.ejct....
 
11.
Marchel H, Wróblewska M. Bloodstream infections – etiology and current microbiological diagnostics. Pol Ann Med. 2022;29(1):83–87. https://doi.org/10.29089/2021.....
 
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