Abstract
IntroductionPatients on hemodialysis, particularly those with temporary non-tunneled dialysis access, constitute a high-risk population for bloodstream infections associated with significant morbidity and mortality rates. This population also has a high prevalence of cardiovascular diseases with poor prognosis.Case presentationWe report the case of a 62-year-old Caucasian man with end-stage renal disease undergoing hemodialysis, who presented with an eventually lethal case of staphylococcal septicemia with an unusual involvement of the heart, including bacterial coronary arteritis, myocardial abscesses and papillary muscle infarction and rupture, along with complications involving other organs.ConclusionsIt is important to try to minimize invasive procedures in patients who are hemodialysis dependent. The strict control of heart function is indicated considering the large spectrum of unusual cardiac complications.
Highlights
Patients on hemodialysis, those with temporary non-tunneled dialysis access, constitute a high-risk population for bloodstream infections associated with significant morbidity and mortality rates
We describe the case of a patient with end-stage renal disease undergoing hemodialysis, who presented with an lethal case of staphylococcal septicemia with unusual involvement of the heart, including bacterial coronary arteritis, myocardial abscesses and papillary muscle rupture, along with complications involving other organs
Peripheral blood cultures obtained at admission tested positive for methicillin-resistant Staphylococcus aureus (MRSA)
Summary
In order to decrease the rate of bacteremia in patients who are hemodialysis dependent, we should try to minimize invasive procedures and the use of temporary non-tunneled catheters for dialysis, and maintain strict prophylactic measures against catheter-related infections. The strict control of heart function is indicated considering the large spectrum of unusual cardiac complications. Consent Written informed consent was obtained from the patient’s next-of-kin for publication of this manuscript and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Submit your manuscript to BioMed Central and take full advantage of:
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
