A case report of a 55-year-old man with a history of orthotopic cardiac transplantation presenting with a persistent urinary tract infection.
Raises awareness of persistent UTIs in cardiac transplant recipients; leaves open optimal management strategies.
Presentation of CaseA 55-year-old man was admitted to the hospital because of a persistent urinary tract infection.The patient had had an extensive anterior myocardial infarct 11 years earlier accompanied by ventricular tachycardia, and another myocardial infarction was complicated by complete atrioventricular block one year later. A permanent electronic pacemaker was implanted. Coronary angiographic examination revealed inoperable coronary artery disease, and medical management was provided for congestive heart failure. Six and a half years before entry recurrent bouts of ventricular tachycardia developed, with near syncope. An orthotopic cardiac transplantation was performed nine months later. The patient's postoperative course was . . .
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Cabot et al. (1994) studied this question.
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