Right-sided non-bacterial thrombotic endocarditis in a chronic hemodialysis patient with Muir-Torre syndrome.
Endocarditis is a recognised complication ofhemodialysis. This is generally only thought of in terms of infective vegetations. We present a case of right-sided NBTE in a patient with an indwelling venous catheter who also had advanced pelvic malignancy. The unusual side of this patient's endocarditic lesions implicates a role for the venous catheter in determining the site of non-bacterial thrombus formation. It is also a reminder that endocarditis is always a risk when using central venous catheters, even after appropriate sterile precautions have been taken.
Singhal
S
S
Department of Renal Medicine, Hope Hospital and National Hospital of Neurology and Neurosurgery, Manchester, UK. zincfinger@compuserve.com
Harty
J
J
Lal
S
S
Reeve
R S
RS
Al Baaj
F
F
Kalra
P
P
D000328:Adult; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling; D004696:Endocarditis / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D009378:Neoplasms, Multiple Primary / Q000235:genetics*; D010386:Pelvic Neoplasms / Q000150:complications* / Q000235:genetics; D006435:Renal Dialysis; D012626:Sebaceous Gland Neoplasms / Q000150:complications* / Q000235:genetics; D013577:Syndrome; D013927:Thrombosis / Q000209:etiology*