Infective Endocarditis in a Patient of End-stage Kidney Disease and the Nuances of Management

Nontunneled central venous catheters remain an irreplaceable tool for initiation of haemodialysis in most patients with end-stage kidney disease (ESKD) in the developing and underdevelpoed countries. The low cost and convenience of insertion outweigh their disadvantage of higher rates of infection a...

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Main Authors: Arun Prabhahar Rajarajan, Alan Shaji, Jasmine Sethi, Gowri Shankar, Harsimran Bhatia, Soumitra Ghosh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Indian Journal of Kidney Diseases
Subjects:
Online Access:https://journals.lww.com/10.4103/ijkd.ijkd_46_23
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author Arun Prabhahar Rajarajan
Alan Shaji
Jasmine Sethi
Gowri Shankar
Harsimran Bhatia
Soumitra Ghosh
author_facet Arun Prabhahar Rajarajan
Alan Shaji
Jasmine Sethi
Gowri Shankar
Harsimran Bhatia
Soumitra Ghosh
author_sort Arun Prabhahar Rajarajan
collection DOAJ
description Nontunneled central venous catheters remain an irreplaceable tool for initiation of haemodialysis in most patients with end-stage kidney disease (ESKD) in the developing and underdevelpoed countries. The low cost and convenience of insertion outweigh their disadvantage of higher rates of infection and mortality. We report a case of right-sided infective endocarditis (IE) in a ESKD patient secondary to uncuffed dialysis catheter and the challenges faced with respect to diagnosing and managing IE in such population. This case is unique because it demonstrates septic pulmonary emboli secondary to tricuspid valve Staphylococcus aureus IE in a patient with ESKD.
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institution Kabale University
issn 2950-0761
language English
publishDate 2024-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Kidney Diseases
spelling doaj-art-f587b85cff2942c99f96bba56ae0c81c2025-08-20T03:45:45ZengWolters Kluwer Medknow PublicationsIndian Journal of Kidney Diseases2950-07612024-01-0131283010.4103/ijkd.ijkd_46_23Infective Endocarditis in a Patient of End-stage Kidney Disease and the Nuances of ManagementArun Prabhahar RajarajanAlan ShajiJasmine SethiGowri ShankarHarsimran BhatiaSoumitra GhoshNontunneled central venous catheters remain an irreplaceable tool for initiation of haemodialysis in most patients with end-stage kidney disease (ESKD) in the developing and underdevelpoed countries. The low cost and convenience of insertion outweigh their disadvantage of higher rates of infection and mortality. We report a case of right-sided infective endocarditis (IE) in a ESKD patient secondary to uncuffed dialysis catheter and the challenges faced with respect to diagnosing and managing IE in such population. This case is unique because it demonstrates septic pulmonary emboli secondary to tricuspid valve Staphylococcus aureus IE in a patient with ESKD.https://journals.lww.com/10.4103/ijkd.ijkd_46_23hemodialysisinfective endocarditispulmonary complicationsseptic emboliuncuffed dialysis catheter
spellingShingle Arun Prabhahar Rajarajan
Alan Shaji
Jasmine Sethi
Gowri Shankar
Harsimran Bhatia
Soumitra Ghosh
Infective Endocarditis in a Patient of End-stage Kidney Disease and the Nuances of Management
Indian Journal of Kidney Diseases
hemodialysis
infective endocarditis
pulmonary complications
septic emboli
uncuffed dialysis catheter
title Infective Endocarditis in a Patient of End-stage Kidney Disease and the Nuances of Management
title_full Infective Endocarditis in a Patient of End-stage Kidney Disease and the Nuances of Management
title_fullStr Infective Endocarditis in a Patient of End-stage Kidney Disease and the Nuances of Management
title_full_unstemmed Infective Endocarditis in a Patient of End-stage Kidney Disease and the Nuances of Management
title_short Infective Endocarditis in a Patient of End-stage Kidney Disease and the Nuances of Management
title_sort infective endocarditis in a patient of end stage kidney disease and the nuances of management
topic hemodialysis
infective endocarditis
pulmonary complications
septic emboli
uncuffed dialysis catheter
url https://journals.lww.com/10.4103/ijkd.ijkd_46_23
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AT alanshaji infectiveendocarditisinapatientofendstagekidneydiseaseandthenuancesofmanagement
AT jasminesethi infectiveendocarditisinapatientofendstagekidneydiseaseandthenuancesofmanagement
AT gowrishankar infectiveendocarditisinapatientofendstagekidneydiseaseandthenuancesofmanagement
AT harsimranbhatia infectiveendocarditisinapatientofendstagekidneydiseaseandthenuancesofmanagement
AT soumitraghosh infectiveendocarditisinapatientofendstagekidneydiseaseandthenuancesofmanagement