Multidisciplinary Approach to the Management of a Patient with Right-Sided Infective Endocarditis on Maintenance Hemodialysis

Infective endocarditis in patients on maintenance hemodialysis occurs more often than in the population, manifests severe complications and is characterized by high mortality. The management of such patients requires the participation of several specialists. In the presented clinical observation, bo...

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Main Authors: E. Yu. Ponomareva, N. A. Kosheleva, D. S. Sedov
Format: Article
Language:Russian
Published: SINAPS LLC 2023-10-01
Series:Архивъ внутренней медицины
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Online Access:https://www.medarhive.ru/jour/article/view/1669
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author E. Yu. Ponomareva
N. A. Kosheleva
D. S. Sedov
author_facet E. Yu. Ponomareva
N. A. Kosheleva
D. S. Sedov
author_sort E. Yu. Ponomareva
collection DOAJ
description Infective endocarditis in patients on maintenance hemodialysis occurs more often than in the population, manifests severe complications and is characterized by high mortality. The management of such patients requires the participation of several specialists. In the presented clinical observation, both typical characteristics of infective endocarditis on maintenance hemodialysis (staphylococcal etiology, association with vascular access devices, metabolic and hemodynamic risk factors) and peculiarities of a particular case (nature of nephropathy that led to maintenance hemodialysis, mechanism of right heart damage, which is uncommon for infective endocarditis on maintenance hemodialysis) are discussed in comparison with literature data. Interdisciplinary interaction of doctors of several specialties contributed to the choice of the right tactics and a favorable outcome of the disease.
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record_format Article
series Архивъ внутренней медицины
spelling doaj-art-98b6a4b874034d76a89a49e5d801f36a2025-08-04T14:09:48ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642023-10-0113537137610.20514/2226-6704-2023-13-5-371-376962Multidisciplinary Approach to the Management of a Patient with Right-Sided Infective Endocarditis on Maintenance HemodialysisE. Yu. Ponomareva0N. A. Kosheleva1D. S. Sedov2Saratov State Medical University named after V.I. Razumovsky, Ministry of Health of Russian FederationSaratov State Medical University named after V.I. Razumovsky, Ministry of Health of Russian FederationSaratov State Medical University named after V.I. Razumovsky, Ministry of Health of Russian FederationInfective endocarditis in patients on maintenance hemodialysis occurs more often than in the population, manifests severe complications and is characterized by high mortality. The management of such patients requires the participation of several specialists. In the presented clinical observation, both typical characteristics of infective endocarditis on maintenance hemodialysis (staphylococcal etiology, association with vascular access devices, metabolic and hemodynamic risk factors) and peculiarities of a particular case (nature of nephropathy that led to maintenance hemodialysis, mechanism of right heart damage, which is uncommon for infective endocarditis on maintenance hemodialysis) are discussed in comparison with literature data. Interdisciplinary interaction of doctors of several specialties contributed to the choice of the right tactics and a favorable outcome of the disease.https://www.medarhive.ru/jour/article/view/1669infective endocarditiscardiovascular diseasemaintenance hemodialysis
spellingShingle E. Yu. Ponomareva
N. A. Kosheleva
D. S. Sedov
Multidisciplinary Approach to the Management of a Patient with Right-Sided Infective Endocarditis on Maintenance Hemodialysis
Архивъ внутренней медицины
infective endocarditis
cardiovascular disease
maintenance hemodialysis
title Multidisciplinary Approach to the Management of a Patient with Right-Sided Infective Endocarditis on Maintenance Hemodialysis
title_full Multidisciplinary Approach to the Management of a Patient with Right-Sided Infective Endocarditis on Maintenance Hemodialysis
title_fullStr Multidisciplinary Approach to the Management of a Patient with Right-Sided Infective Endocarditis on Maintenance Hemodialysis
title_full_unstemmed Multidisciplinary Approach to the Management of a Patient with Right-Sided Infective Endocarditis on Maintenance Hemodialysis
title_short Multidisciplinary Approach to the Management of a Patient with Right-Sided Infective Endocarditis on Maintenance Hemodialysis
title_sort multidisciplinary approach to the management of a patient with right sided infective endocarditis on maintenance hemodialysis
topic infective endocarditis
cardiovascular disease
maintenance hemodialysis
url https://www.medarhive.ru/jour/article/view/1669
work_keys_str_mv AT eyuponomareva multidisciplinaryapproachtothemanagementofapatientwithrightsidedinfectiveendocarditisonmaintenancehemodialysis
AT nakosheleva multidisciplinaryapproachtothemanagementofapatientwithrightsidedinfectiveendocarditisonmaintenancehemodialysis
AT dssedov multidisciplinaryapproachtothemanagementofapatientwithrightsidedinfectiveendocarditisonmaintenancehemodialysis