Abstract
BackgroundInfective endocarditis is significantly more common in haemodialysis patients as compared with the general population, the causative pathogen is generally Staphylococcus aureus; there have been no previously reported cases of infective endocarditis caused by a Salmonella species in haemodialysis patients.Case PresentationWe report the case of a 68 year-old woman on haemodialysis who developed infective endocarditis as a result of Salmonella enteritidis. Although we treated the patient with ceftriaxone combined with ciprofloxacin, infective endocarditis was not detected early enough and unfortunately developed into cerebral septic emboli, which ultimately resulted in death.ConclusionAlthough there are several reports that Salmonella endocarditis without cardiac failure can be successfully treated with antibiotics alone, early surgical intervention is essential for some cases to prevent life-threatening complications. Transesophageal echocardiography should be performed in any patient with high clinical suspicion of infective endocarditis. To the best of our knowledge, this is the first case-report of Salmonella endocarditis in a haemodialysis patient.
Highlights
Infective endocarditis is significantly more common in haemodialysis patients as compared with the general population, the causative pathogen is generally Staphylococcus aureus; there have been no previously reported cases of infective endocarditis caused by a Salmonella species in haemodialysis patients.Case Presentation: We report the case of a 68 year-old woman on haemodialysis who developed infective endocarditis as a result of Salmonella enteritidis
Infective endocarditis is a common complication among haemodialysis patients, the causative pathogen is gener
Salmonella endocarditis has been previously reported in the general population as a rare complication of Salmonella gastroenteritis
Summary
Salmonella endocarditis has been previously reported in the general population as a rare complication of Salmonella gastroenteritis. To the best of our knowledge, this is the first case-report of Salmonella endocarditis in a haemodialysis patient. Salmonella endocarditis may present an aggressive course; early surgical intervention is essential for some cases to prevent life-threatening complications. Non-surgical management may treat the patient successfully, but further investigation is required to distinguish patients who require an expeditious surgical intervention from those who can be treated with antibiotics alone. Episodes of infective endocarditis Staphylococcus aureus MRSA CNS Enterococcus sp.
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