[Infectious tricuspid valve endocarditis in a chronic hemodialysis patient; report of a case].
We report a rare case of isolated infectious tricuspid valve endocarditis. A 67-year-old male patient with chronic renal failure complained of fever up to 38 degrees C after hemodialysis. WBC was not elevated, but CRP was increased. Transthoracic and transesophageal echocardiography for investigating his chest discomfort demonstrated a large 13 x 25 mm vegetation on the tricuspid valve. Blood culture was negative. The tricuspid valve was replaced with a bioprosthetic valve. The extensive vegetation was found in the anterior, septal and posterior cusps and diagnosed as infectious endocarditis pathologically. The postoperative course was uneventful. WBC and CRP remained normal 9 months after surgery and no signs of recurrence were observed. The cause of the infectious endocarditis seemed to be the insertion of a double lumen catheter for dialysis or the puncture of the arteriovenous shunt.
Yoshida
H
H
Department of Surgery and Cardiovascular Surgery, Nemuro City Hospital, Nemuro, Japan.
Sugimoto
H
H
Tanaka
K
K
Iritani
O
O
Goh
K
K
D000368:Aged; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000209:etiology / Q000601:surgery*; D006349:Heart Valve Diseases / Q000209:etiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D006435:Renal Dialysis; D014261:Tricuspid Valve / Q000601:surgery*