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Korean J Med > Volume 86(3); 2014 > Article
The Korean Journal of Medicine 2014;86(3): 349-352.
말기신부전 환자에서 Candida famata에 의해 발생한 심내막염
김정관1, 황현철2, 장지연3, 하성은3, 김동휘3, 최범순3
1예수병원 신장내과
2현대중앙병원 신장내과
3가톨릭대학교 의과대학 내과학교실
A Case of Infective Endocarditis in an End-Stage Renal Disease Patient Caused by Candida famata
Jeong Gwan Kim1, Hyun Chul Whang2, Ji Yeon Jang3, Seong Eun Ha3, Dong Hwi Kim3, Bum Soon Choi3
1Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea
2Division of Nephrology, Department of Internal Medicine, Hyundae Jungang General Hospital, Wonju, Korea
3Division of Nephrology, Department of Internal Medicine, The Catholic University of Korea Seoul Saint Mary's Hospital, Seoul, Korea
Corresponding Author: Bum Soon Choi ,Tel: +82-2-2258-1232, Fax: +82-2-532-6537, Email: sooncb@catholic.ac.kr
Received: May 8, 2013;   Revised: May 30, 2013;   Accepted: May 31, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Infective endocarditis is rare in end-stage renal disease (ESRD) patients, who have a poorer prognosis than the general population. Candida endocarditis is rare and has a poor prognosis among causes of infective endocarditis. A 45-year-old male was admitted with sepsis combined with a hematoma on his right back. Candida famata was cultured in his blood. We treated him with antifungal agents. Echocardiography was performed to identify vegetations and diagnose endocarditis. In this case, surgical therapy was impossible because the patient’s condition had deteriorated. We also administered antibiotics because methicillin-resistant Staphylococcus aureus was cultured from his sputum and a perianal abscess. The symptoms did not improve despite the ongoing treatment. Metabolic acidosis, hypotension, and a decreased state of consciousness developed and he died. We report a rare case of Candida endocarditis in an ESRD patient on hemodialysis. (Korean J Med 2014;86:349-352)
Keywords: Hemodialysis; Infective endocarditis; Candida; Hematoma
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