Subject: kidney transplantation
Subject: endocarditis,
Subject: cardiac surgery
Year: 2023
Type: Article
Title: SUCCESSFUL TREATMENT OF ENDOCARDITIS WITH NONSPECIFIC PRESENTATION IN A KIDNEY TRANSPLANTPATIENT-CASE REPORT
Author: Uspcov, Julijana
Author: Kabova Karanfilovikj, Angela
Author: Karanfilovski, Vlatko
Author: Spasovska, Adrijana
Author: Canevska Taneska, Aleksandra
Author: Shterjova, Zhaklina
Author: Severova, Galina
Author: Arnaudova, Frosina
Author: Jovkovski, Aleksandar
Author: Bushljetikj, Oliver
Author: Gerakaroska, Marija
Author: Jovev, Sasho
Author: Rambabova Bushljetikj, Irena
Author: Spasovski, Goce
Abstract: Infective endocarditis (IE) is a serious complication in patients with transplanted kidney, leading to graft loss and a high mortality rate. We present a case of native valve endocarditis in a 51-year-old male with transplanted kidney that had atypical clinical course. The patient experienced prolonged subfebrile temperature with paroxysmal arrhythmia and development of cardio-pulmonary insufficiency. Transthoracic echocardiography (TTE) set the diagnosis of aortic valve vegetation with severe aortic regurgitation and pulmonary edema. We failed to isolate a microbiological agent, but all blood cultures were taken under antibiotic therapy. The patient was treated with surgical replacement of the native aortic valve with mechanical heart valve with significant clinical improvement. Ten days after the intervention, he was discharged with reduced markers of inflammation and proper function of the kidney graft. Immunosuppressive therapy was gradually reinstated. One year later, the patient was clinically stable and with proper graft function. Early diagnostic and therapeutic intervention, particularly intensive antibiotic therapy and surgical management can preserve the patient and the kidney allograft.
Publisher: Macedonian Association of Anatomists
Relation: Journal of Morphological Sciences
Identifier: oai:repository.ukim.mk:20.500.12188/28759
Identifier: http://hdl.handle.net/20.500.12188/28759Identifier: https://www.jms.mk/jms/article/view/vol6no2-18
