Key result
A multidisciplinary approach contributed to the choice of the right tactics and a favorable outcome in a patient with right-sided infective endocarditis on maintenance hemodialysis.
Why the study?
Infective endocarditis in patients on maintenance hemodialysis carries severe complications and high mortality, necessitating multidisciplinary management.
Case Report (n=1)
A multidisciplinary approach is crucial for the successful management of complex cases of right-sided infective endocarditis in patients on maintenance hemodialysis.
May support multidisciplinary tactics in right-sided IE on hemodialysis; leaves open prospective validation.
Infective endocarditis in patients on maintenance hemodialysis occurs more often than in the population, manifests severe complications and is characterized by high mortality. The management of such patients requires the participation of several specialists. In the presented clinical observation, both typical characteristics of infective endocarditis on maintenance hemodialysis (staphylococcal etiology, association with vascular access devices, metabolic and hemodynamic risk factors) and peculiarities of a particular case (nature of nephropathy that led to maintenance hemodialysis, mechanism of right heart damage, which is uncommon for infective endocarditis on maintenance hemodialysis) are discussed in comparison with literature data. Interdisciplinary interaction of doctors of several specialties contributed to the choice of the right tactics and a favorable outcome of the disease.
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Ponomareva et al. (2023) conducted a case report in Right-Sided Infective Endocarditis on Maintenance Hemodialysis (n=1). Multidisciplinary approach was evaluated. A multidisciplinary approach contributed to the choice of the right tactics and a favorable outcome in a patient with right-sided infective endocarditis on maintenance hemodialysis.
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