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. 2012 Feb;12(1):120-3.
doi: 10.12816/0003099. Epub 2012 Feb 7.

Infective Endocarditis of the Aortic Valve caused by Pseudomonas aeruginosa and Treated Medically in a Patient on Haemodialysis

Kowthar S Hassan  1 , Dawood Al-Riyami
Affiliations

Infective Endocarditis of the Aortic Valve caused by Pseudomonas aeruginosa and Treated Medically in a Patient on Haemodialysis

Kowthar S Hassan et al. Sultan Qaboos Univ Med J. 2012 Feb.

Abstract

Infective endocarditis (IE) in patients on dialysis is a serious infection with a high mortality rate. It is usually caused by Gram positive bacteria with Gram negative organisms being relatively rare as a cause. Recommended treatment usually involves surgical valve replacement and the extended use of antibiotics. Successful treatment with antibiotics alone is rare. We report a case of IE caused by Pseudomonas aeruginosa in a patient on dialysis treated solely with antibiotics.

Keywords: Case report; Dialysis; Infective endocarditis; Oman; Pseudomonas aeruginosa; Treatment, antibiotic.

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Figures

Figure 1:
Figure 1:
Apical view transthoracic echocardiography scan showing large vegetation seen on the aortic valve.
Figure 2:
Figure 2:
Apical view transesophageal echocardiography scan showing decrease in the size of previous vegetation.
Figure 3:
Figure 3:
Short axis, aortic view echocardiography scan showing total clearance of the vegetation.
See this image and copyright information in PMC

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