Infective Endocarditis with Cerebral Infarction in a Hemodialysis Patient with Failed Renal Allograft.
- Author:
Hee Jae JUNG
1
;
Byung Chul YOU
;
Yu Sik MYUNG
;
Eun Jung KIM
;
Moo Yong PARK
;
Soo Jeong CHOI
;
Jin Kuk KIM
;
Seung Duk HWANG
;
Eun Suk KOH
;
Keun HER
Author Information
1. Department of Internal Medicine, Soonchunhyang University, College of Medicine, Bucheon, Korea. medkjk@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Kidney transplantation;
Hemodialysis;
Endocarditis;
Cerebral infarction
- MeSH:
Anti-Bacterial Agents;
Cerebral Infarction;
Consensus;
Dialysis;
Endocarditis;
Humans;
Immunosuppression;
Immunosuppressive Agents;
Kidney;
Kidney Transplantation;
Rejection (Psychology);
Renal Dialysis;
Transplantation, Homologous;
Transplants
- From:Korean Journal of Nephrology
2011;30(5):551-556
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Infective endocarditis is a dreaded complication in dialysis or kidney transplantation patients, with high morbidity and mortality. Despite the improved early survival of the transplanted kidney with new immunosuppressive agents, the number of patients returning to dialysis after a failed renal allograft is increasing. There is no consensus on the optimal management of immunosuppression in patients with a failed allograft. Continued immunosuppression is associated with infection, and the rapid discontinuation of immunosuppression may lead to acute rejection. Therefore, it is important to taper the immunosuppression properly in patients with a failed renal allograft. We report on a hemodialysis patient with a failed renal allograft who had a cerebral infarction following infective endocarditis. The patient was treated successfully with antibiotics and valve replacement.
