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Publication Type : Journal Article
Thematic Areas : Medical Sciences
Publisher : JCDR .
Source : JCDR, Volume 10, Number 12-13 (2016)
Campus : Kochi
School : School of Medicine
Department : Cardiology
Year : 2016
Abstract : 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.
Cite this Research Publication : M. Aggarwal, Vijan, V., Vupputuri, A., Nandakumar, S., and Navin Mathew, “A Rare Case of Fatal Endocarditis and sepsis caused by Pseudomonas aeruginoda in a patient with chronic renal failure”, JCDR, vol. 10, 2016.