[Renal infarction with renal abscess onset due to infective endocarditis: a case report].
A 68- year-old male was referred with fever and urinary tract infection. Abdominal computed tomography showed a right renal infarction with abscess and abscesses in the liver and spleen. Cardiac ultrasonic examination showed a vegitation in the aortic valve. Based on these findings, the patient was diagnosed with infective endocarditis and multiple abdominal organ abscesses. The renal infarctions and multiple abscesses probably developed due to dissemination of warts associated with infective endocarditis. We performed emergency valve replacement at the cardiovascular surgery unit at our hospital. Improvements were made in the multiple abscesses after subsequent treatment with an antibiotic agent. The renal diseases associated with infective endocarditis were found to be diverse and we concluded that it is important to understand the conditions of the disease correctly for appropriate treatment.
Shoji
Sunao
S
Department of Urology, Tokai University, School of Medicine, Hachioji Hospital.
Uchida
Toyoaki
T
Murota
Akiko
A
Nagata
Yoshihiro
Y
Shima
Masanori
M
Usui
Yukio
Y
Terachi
Toshiro
T
D000038:Abscess / Q000209:etiology*; D000368:Aged; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007238:Infarction / Q000209:etiology*; D007668:Kidney / Q000098:blood supply*; D007674:Kidney Diseases / Q000209:etiology*; D008297:Male