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  • Title: [Infectious tricuspid valve endocarditis in a chronic hemodialysis patient; report of a case].
    Author: Yoshida H, Sugimoto H, Tanaka K, Iritani O, Goh K.
    Journal: Kyobu Geka; 2006 Mar; 59(3):235-7. PubMed ID: 16528998.
    Abstract:
    We report a rare case of isolated infectious tricuspid valve endocarditis. A 67-year-old male patient with chronic renal failure complained of fever up to 38 degrees C after hemodialysis. WBC was not elevated, but CRP was increased. Transthoracic and transesophageal echocardiography for investigating his chest discomfort demonstrated a large 13 x 25 mm vegetation on the tricuspid valve. Blood culture was negative. The tricuspid valve was replaced with a bioprosthetic valve. The extensive vegetation was found in the anterior, septal and posterior cusps and diagnosed as infectious endocarditis pathologically. The postoperative course was uneventful. WBC and CRP remained normal 9 months after surgery and no signs of recurrence were observed. The cause of the infectious endocarditis seemed to be the insertion of a double lumen catheter for dialysis or the puncture of the arteriovenous shunt.
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