Renal infarction with fatal bleeding--an unusual complication of Candida albicans endocarditis.
A patient with mitral valve endocarditis due to Candida albicans infection is presented. Because of persistent fever and one episode of transient right-sided hemiparesis, the patient underwent mitral valve replacement. Two weeks after successful valve replacement, the patient suddenly developed acute abdominal pain and died before a surgical intervention could be initiated. Autopsy examination revealed a renal infarction in the lower part of the right kidney with a large rupture of the capsule and retroperitoneal bleeding. A myocotic aneurysm could not be detected. The clinical significance of renal infarction in infective endocarditis is discussed.
Mügge
A
A
Abteilung Kardiologie, Medizinische Hochschule Hannover.
Daniel
W G
WG
Nonnast-Daniel
B
B
Schröder
E
E
Trötschel
H
H
Lichtlen
P R
PR
D000328:Adult; D001705:Bioprosthesis; D002177:Candidiasis / Q000473:pathology* / Q000601:surgery; D004452:Echocardiography; D004696:Endocarditis / Q000473:pathology* / Q000601:surgery; D005260:Female; D006350:Heart Valve Prosthesis; D006470:Hemorrhage / Q000473:pathology*; D006801:Humans; D007238:Infarction / Q000473:pathology*; D007668:Kidney / Q000098:blood supply*; D008943:Mitral Valve / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000473:pathology; D012422:Rupture, Spontaneous