Keywords
Embolism
Renal hemorrhage
Staphylococcus aureus
Submitted : 2023-04-22
Accepted : 2023-05-07
Published : 2023-05-22
Abstract
A 55-year-old woman with atopic dermatitis was admitted to the hospital with a diagnosis of septic shock. She had multiple cerebral and left renal infarctions. Transesophageal echocardiography revealed a 10 mm mobile verrucous lesion at the mitral valve. Emergency mitral valvuloplasty was performed, and the verrucous lesion was successfully removed. The patient was hemodynamically stable and was admitted to the postoperative intensive care unit (ICU) under ventilatory support. On postoperative day 3, anemia progressed, and on postoperative day 4, the patient went into shock. Emergency embolization was performed for hemostasis, and the patient’s circulation improved. This is the first report of a case of renal hemorrhage after surgery for infective endocarditis. This case is valuable for the treatment of this disease in which various complications occur.
References
Durante-Mangoni E, Bradley S, Selton-Suty C, et al., 2008, International Collaboration on Endocarditis Prospective Cohort Study Group. Current Features of Infective Endocarditis in Elderly Patients: Results of the International Collaboration on Endocarditis Prospective Cohort Study. Arch Intern Med, 168: 2095–2103.
Thuny F, Di Salvo G, Belliard O, et al., 2005, Risk of Embolism and Death in Infective Endocarditis: Prognostic Value of Echocardiography: A Prospective Multicenter Study. Circulation, 112: 69–75.
Dubois M, Daenens K, Houthoofd S, et al., 2010, Treatment of Mycotic Aneurysms with Involvement of the Abdominal Aorta: Single-Centre Experience in 44 Consecutive Cases. Eur J Vasc Endovasc Surg, 40: 450–456.
Sörelius K, Mani K, Björck M, et al., 2014, Endovascular Treatment of Mycotic Aortic Aneurysms: A European Multicenter Study. Circulation, 130: 2136–2142.
Nakata Y, Shionoya S, Kamiya K, et al., 1968, Pathogenesis of Mycotic Aneurysm. Angiology, 19: 593–601.
Uno K, Kasahara K, Komatsu Y, et al., 2012, Rupture of Renal Mycotic Aneurysm That Developed During the Treatment of Streptococcal Infective Endocarditis and Vertebral Osteomyelitis. Intern Med, 51: 1255–1258.
Pugliese ME, Falcone M, Oliva A, et al., 2016, Aeromonas Hydrophila Endocarditis with Ruptured Mycotic Aneurysm of Right Renal Artery. Infect Dis Rep, 8: 6515.
Ohebshalom MM, Tash JA, Coll D, et al., 2001, Massive Hematuria Due to Right Renal Artery Mycotic Pseudoaneurysm in a Patient with Subacute Bacterial Endocarditis. Urology, 58: 607.
Kesiena O, Da Silva RC, Kumar N, 2021, Contained Rupture of a Small Mycotic Abdominal Aneurysm in a Patient with Infective Endocarditis. Cureus, 13: e18963.
Hart RG, Kagan-Hallet K, Joerns SE, 1987, Mechanisms of Intracranial Hemorrhage in Infective Endocarditis. Stroke, 18: 1048–1056.
García-Cabrera E, Fernández-Hidalgo N, Almirante B, et al., 2013, Neurological Complications of Infective Endocarditis: Risk Factors, Outcome, and Impact of Cardiac Surgery: A Multicenter Observational Study. Circulation, 127: 2272–2284.
Delahaye F, M’Hammedi A, Guerpillon B, et al., 2016, Systematic Search for Present and Potential Portals of Entry for Infective Endocarditis. J Am Coll Cardiol, 67: 151–158.
Ohara T, Nakatani S, Kokubo Y, et al., 2013, Clinical Predictors of In-Hospital Death and Early Surgery for Infective Endocarditis: Results of Cardiac Disease Registration (CADRE, A Nation- Wide Survey in Japan. Int J Cardiol, 167: 2688–2694.
Patel D, Jahnke MN, 2015, Serious Complications from Staphylococcal Aureus in Atopic Dermatitis. Pediatr Dermatol, 32: 792–796.
Yamamoto T, Yodogawa K, Wakita S, et al., 2007, Recurrent Prosthetic Valve Endocarditis Caused by Staphylococcus Aureus Colonizing Skin Lesions in Severe Atopic Dermatitis. Intern Med, 46: 571–573.
Onoda K, Mizutan H, Komada T, et al., 2000, Atopic Dermatitis as a Risk Factor for Acute Native Valve Endocarditis. J Heart Valve Dis, 9: 469–471.
Cancer and Disease Control Division, Health Service Bureau, Ministry of Health, Labor and Welfare, 2016, Arerug? Shikkan no Genj?-T? [Current Status of Allergic Diseases], viewed on March 31, 2022, http://www.mhlw.go.jp/file/05-Shingikai-10905100-Kenkoukyoku-Ganshippeitaisakuka/0000111693.pdf