A Rare Case of Fatal Endocarditis and Sepsis Caused by Pseudomonas aeruginosa in a Patient with Chronic Renal Failure

Nosocomial catheter-related and Arteriovenous fistula (AV)-related infections are significant concern in patients undergoing haemodialysis. These infections are associated with multiple complications as well as mortality and demands immediate and appropriate management. While coagulase-negative stap...

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Bibliographic Details
Published in:Journal of clinical and diagnostic research 2016-07, Vol.10 (7), p.OD12-OD13
Main Authors: Aggarwal, Manav, Vijan, Vikrant, Vupputuri, Anjith, Nandakumar, Sandya, Mathew, Navin
Format: Article
Language:English
Subjects:
arteriovenous fistula infections
embolectomy
endophthalmitis
gangrene
Internal Medicine Section
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Summary:Nosocomial catheter-related and Arteriovenous fistula (AV)-related infections are significant concern in patients undergoing haemodialysis. These infections are associated with multiple complications as well as mortality and demands immediate and appropriate management. While coagulase-negative staphylococci, S.aureus, and Escherichia coli are the most common causes of catheter-related infections in haemodialysis patients, such infections caused by Pseudomonas aeruginosa are relatively rare. Here, we present an unusual case of 36-year-old male patient with chronic renal failure, who developed endocarditis and sepsis from Pseudomonas aeruginosa infection of the left hand arteriovenous fistula. The bacteraemia in the present case caused multiple complications including dry gangrene of bilateral lower limbs, stroke, endophthalmitis, left brachial artery thrombosis and vegetations on the interventricular septum and aortic wall. Despite antibiotic treatment, the patient suffered a cardiac arrest and could not be revived.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2016/20220.8175