Title of article
Successful Treatment of Infective Endocarditis in Four Kidney Transplant Recipients
Author/Authors
Pour reza Gholi, Fatemeh Department of Kidney Transplantation - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical University, Tehran, Iran , Farrokhi, Farhat Department of Kidney Transplantation - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical University, Tehran, Iran , Einollahi, Behzad Department of Kidney Transplantation - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical University, Tehran, Iran , Nemati, Eghlim Department of Kidney Transplantation - Shaheed Labbafinejad Medical Center - Shaheed Beheshti Medical University, Tehran, Iran
Pages
3
From page
43
To page
45
Abstract
Infective endocarditis (IE) is a serious complication in kidney
transplantation, leading to graft loss and a high mortality rate.
We report 4 successfully managed cases of IE in kidney transplant
recipients. Blood culture revealed Enterococcus in 2 patients, group
D Streptococcus in 1, and no bacteria in 1. All of the patients were
diagnosed based on at least 2 major Duke criteria for diagnosis
of IE. Although a mild increase in the serum creatinine level was
observed in 3 out of 4 patients, no graft rejection occurred during
the follow-up. Early diagnostic and therapeutic intervention,
particularly intensive antibiotic therapy and surgical management
can preserve the patient and the kidney allograft. Studies on
previous recurrent infections and simultaneous diseases such as
cytomegalovirus in these patients are warranted
Keywords
kidney transplantation , endocarditis , heart valvular diseases , cytomegalovirus , infection
Journal title
Astroparticle Physics
Serial Year
2007
Record number
2421816
Link To Document