Display Settings:

Format

Send to:

Choose Destination

    BMC Infect Dis. 2009 Sep 29;9:161.

    Infective endocarditis caused by Salmonella enteritidis in a dialysis patient: a case report and literature review.

    Tsugawa Y, Futatsuyama M, Furukawa K, Taki F, Nishizaki Y, Tamagaki K, Kaneshiro Y, Komatsu Y.

    Department of Nephrology, Division of Internal Medicine, St. Luke's International Hospital, Tokyo, Japan. yusuke@luke.or.jp

    BACKGROUND: 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. 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. CONCLUSION: Although 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.

    PMID: 19788759 [PubMed - indexed for MEDLINE]

    PMCID: PMC2760558

    Supplemental Content

    Click here to read Click here to read Click here to read Click here to read Click here to read Click here to read

    Patient drug information

    • Ciprofloxacin (Cipro®, Cipro® XR, Proquin® XR)

      Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Ciprofloxacin is also used to treat or prevent anthrax (a serious infection that may be spread on purpose as part of a bioterror attack) in...