A 22 year-old male patient referred to cardiology clinic with complaints of fever, chills and malaise. He had been on haemodialysis for 12 months due to immunoglobulin A nephropathy. On admission his body temperature, pulse rate and blood pressure was 38.6°C, 115 beats/min and 110/70 mmHg, respectively. In the laboratory examination there were leukocyte, C-reactive protein and erythrocyte sedimentation rate elevation. There were vegetations on the mitral, aortic and tricuspid valves. Blood cultures were positive for Enterococcus faecalis which was susceptible to vancomycin. Since the patient did not accept the surgical operation, he died because of multi-organ dysfunction
On iki aydır immünglobulin A nefropatisi tanısıyla
hemodiyaliz yapılan yirmi iki yaşında erkek hasta ateş,
terleme ve halsizlik şikayeti ile kardiyoloji kliniğimize
yönlendirildi. Hastanın başvurusunda vucut sıcaklığı
38,6°C, kalp hızı 115 atım/dk ve tansiyon arteriel 110/70
mmHg idi. Labaratuvar tetkiklerinde lökosit, eritrosit
sedimantasyon hızı ve C-reaktif protein değerleri yüksekti.
Mitral, aort ve triküspit kapakta vejetasyon vardı. Kan
kültüründe vankomisine duyarlı Enterococus faecalis üredi.
Cerrahi operasyonu kabul etmeyen hasta multiorgan
disfonksiyonu nedeniyle kaybedildi.
Primary Language | Turkish |
---|---|
Subjects | Health Care Administration |
Journal Section | Olgu Sunumları |
Authors | |
Publication Date | June 4, 2015 |
Published in Issue | Year 2013 Volume: 1 Issue: 2 |