title: Infective endocarditis developing as uremia.
abstract: A 49-year-old man presented with fever and uremic symptoms such as general malaise, leg edema and decreased urine output. He was diagnosed as having infective endocarditis (IE) accompanied by renal failure. Although he had been receiving hemodialysis for a long time, renal function dramatically improved after heart valve replacement. This case suggests that uremia can develop as an initial manifestation of IE and removal of an infected heart valve can improve renal function despite persistent renal failure. From the perspective of recovery of renal function, early surgery should be considered in patients with renal failure following IE.
authors: Department of Cardiology, Tenri Hospital, Nara.
authors: Makoto
authors: M
authors: Miyake
authors: Kazuhiro
authors: K
authors: Hatta
authors: Takayuki
authors: T
authors: Kameyama
authors: Yoshihiro
authors: Y
authors: Himura
authors: Hiromitsu
authors: H
authors: Gen
authors: Yoichiro
authors: Y
authors: Kobashi
authors: Takashi
authors: T
authors: Konishi
mesh_terms: D001002:Anuria / Q000175:diagnosis / Q000209:etiology*; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D000077731:Meropenem; D008875:Middle Aged; D013845:Thienamycins / Q000627:therapeutic use; D014511:Uremia / Q000175:diagnosis*
chemical_list: D013845:Thienamycins; D000077731:Meropenem