In:
Hemodialysis International, Wiley, Vol. 20, No. 3 ( 2016-07), p. 358-361
Abstract:
Catheter and/or arteriovenous ( A ‐ V ) graft‐related bacteremia is an important cause of morbidity and mortality among hemodialysis ( HD ) patients. Endocarditis, septic arthritis, epidural abscess, septic embolism, and osteomyelitis are the most common complications of catheter and/or A ‐ V graft‐related bacteremia; however, endogenous endophthalmitis is rarely seen. To the best of our knowledge, E nterococcus faecalis is the first case report in this population. We hereby report a case of endogenous endophthalmitis caused by E . faecalis as a complication of catheter and/or A ‐ V graft‐related bacteremia in a diabetic patient, who was undergoing HD for 5 years. We also discuss the etiology, clinical features, and outcomes of endogenous endophthalmitis in HD patients with a brief review of the literature. Although broad‐spectrum parenteral (intravenous and intravitreal) antibiotics were used for 4 weeks, evisceration of the left eye could not be avoided. Endogenous endophthalmitis is a rare but rapidly blinding complication of catheter and/or A ‐ V graft‐related bacteremia in HD patients. It can develop as a result of silent catheter and/or A ‐ V graft infections, which may lead to recurrent bacteremia. E . faecalis should be considered as a pathogen in this population who had recent history of catheter or A ‐ V graft procedure.
Type of Medium:
Online Resource
ISSN:
1492-7535
,
1542-4758
DOI:
10.1111/hdi.2016.20.issue-3
Language:
English
Publisher:
Wiley
Publication Date:
2016
detail.hit.zdb_id:
2103570-2
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