A Case of a Home Hemodialysis Patient With Infective Endocarditis Complicated by Cerebral Infarction and Septic Pulmonary Embolism, Most Likely Caused by Frequent Shunt Punctures

APM

Advances in Precision Medicine

2424-85922424-9106

WHIOCE PUBLISHING PTE. LTD.

10.18063/apm.v7i2.242

Article

A Case of a Home Hemodialysis Patient With Infective Endocarditis Complicated by Cerebral Infarction and Septic Pulmonary Embolism, Most Likely Caused by Frequent Shunt Punctureshttps://artdesignp.com/journal/APM/7/2/10.18063/apm.v7i2.242IkezawaTomohiro,ObaraSho,YokoyamaYumi,FurukawaHisashi,YokotaJunna,KanekoSatoru,HagiharaRyu,KawasakiDaiki,FukayaDaichi,KondouTatuo,SugiyamaKei,ItouYuto,AmanoHiroaki,TomoriKouji,WatanabeYusuke,InoueTutomu,OkadaHirokazu

2022

2022-07-25

We report a case of home hemodialysis with infectious endocarditis  complicated by cerebral infarction and septic pulmonary embolism,  most likely due to frequent shunt punctures. The patient, a 52-year-old  man, was introduced to hemodialysis at our hospital 11 years ago due  to reduced renal function caused by polycystic kidney disease and was  transferred to home hemodialysis in the same year. Fever and general  weakness appeared four days before he was urgently admitted to our  department. Two blood culture sets revealed methicillin-susceptible  Staphylococcus aureus (MSSA), brain MRI revealed multiple cerebral  infarctions, and transesophageal echocardiography revealed infective  endocarditis. The patient was transferred to the cardiology department  of an affiliated hospital, treated with antimicrobials (for a total of 58  days), and discharged home on the 63rd day after admission. Frequent  shunt punctures were considered to be the cause of the bloodstream  infection leading to multiple complications.Hemodialysis,Infective endocarditis,Pulmonary embolism,Cerebral infarction

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