Infective endocarditis in renal transplant recipients: one center’s experience

Detalhes bibliográficos
Autor(a) principal: Pereira,L
Data de Publicação: 2018
Outros Autores: Meng,C, Guedes,L, Marques,S, Nunes,A, Sampaio,S, Tavares,I, Bustorff,M, Pestana,M
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400001
Resumo: Background: Infective endocarditis (IE) is rarely described among renal transplant recipients. Methods: We conducted a retrospective study to identify all cases of IE in our renal transplant unit between 1992 and 2012 to elucidate IE’s clinical features and outcomes. Modified Duke criteria were applied to confirm diagnosis and patient evolution was evaluated. Results: Between 1992 and 2012, our renal transplant unit performed 1065 renal transplants. Seven episodes of IE were identified in six patients. Median age at presentation was 59 years and most cases occurred in males (71.4%). Blood cultures were negative in 42.9% of patients. Gram positive coccus were the most frequent etiologic agents. There were no fungal endocarditis. Aortic valve was involved in all patients. Three patients underwent cardiac surgery. Mortality at 30 days and 2 years were 16.7%. Conclusion: Infective endocarditis in renal transplant patients remains a rare disease. The diagnosis is challenging considering nonspecific presentation and the high proportion of negative blood cultures.
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spelling Infective endocarditis in renal transplant recipients: one center’s experienceInfective endocarditiskidneytransplantationBackground: Infective endocarditis (IE) is rarely described among renal transplant recipients. Methods: We conducted a retrospective study to identify all cases of IE in our renal transplant unit between 1992 and 2012 to elucidate IE’s clinical features and outcomes. Modified Duke criteria were applied to confirm diagnosis and patient evolution was evaluated. Results: Between 1992 and 2012, our renal transplant unit performed 1065 renal transplants. Seven episodes of IE were identified in six patients. Median age at presentation was 59 years and most cases occurred in males (71.4%). Blood cultures were negative in 42.9% of patients. Gram positive coccus were the most frequent etiologic agents. There were no fungal endocarditis. Aortic valve was involved in all patients. Three patients underwent cardiac surgery. Mortality at 30 days and 2 years were 16.7%. Conclusion: Infective endocarditis in renal transplant patients remains a rare disease. The diagnosis is challenging considering nonspecific presentation and the high proportion of negative blood cultures.Sociedade Portuguesa de Nefrologia2018-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400001Portuguese Journal of Nephrology & Hypertension v.32 n.4 2018reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400001Pereira,LMeng,CGuedes,LMarques,SNunes,ASampaio,STavares,IBustorff,MPestana,Minfo:eu-repo/semantics/openAccess2024-02-06T17:04:59Zoai:scielo:S0872-01692018000400001Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:01.196253Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Infective endocarditis in renal transplant recipients: one center’s experience
title Infective endocarditis in renal transplant recipients: one center’s experience
spellingShingle Infective endocarditis in renal transplant recipients: one center’s experience
Pereira,L
Infective endocarditis
kidney
transplantation
title_short Infective endocarditis in renal transplant recipients: one center’s experience
title_full Infective endocarditis in renal transplant recipients: one center’s experience
title_fullStr Infective endocarditis in renal transplant recipients: one center’s experience
title_full_unstemmed Infective endocarditis in renal transplant recipients: one center’s experience
title_sort Infective endocarditis in renal transplant recipients: one center’s experience
author Pereira,L
author_facet Pereira,L
Meng,C
Guedes,L
Marques,S
Nunes,A
Sampaio,S
Tavares,I
Bustorff,M
Pestana,M
author_role author
author2 Meng,C
Guedes,L
Marques,S
Nunes,A
Sampaio,S
Tavares,I
Bustorff,M
Pestana,M
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Pereira,L
Meng,C
Guedes,L
Marques,S
Nunes,A
Sampaio,S
Tavares,I
Bustorff,M
Pestana,M
dc.subject.por.fl_str_mv Infective endocarditis
kidney
transplantation
topic Infective endocarditis
kidney
transplantation
description Background: Infective endocarditis (IE) is rarely described among renal transplant recipients. Methods: We conducted a retrospective study to identify all cases of IE in our renal transplant unit between 1992 and 2012 to elucidate IE’s clinical features and outcomes. Modified Duke criteria were applied to confirm diagnosis and patient evolution was evaluated. Results: Between 1992 and 2012, our renal transplant unit performed 1065 renal transplants. Seven episodes of IE were identified in six patients. Median age at presentation was 59 years and most cases occurred in males (71.4%). Blood cultures were negative in 42.9% of patients. Gram positive coccus were the most frequent etiologic agents. There were no fungal endocarditis. Aortic valve was involved in all patients. Three patients underwent cardiac surgery. Mortality at 30 days and 2 years were 16.7%. Conclusion: Infective endocarditis in renal transplant patients remains a rare disease. The diagnosis is challenging considering nonspecific presentation and the high proportion of negative blood cultures.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-01
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400001
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dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Nefrologia
publisher.none.fl_str_mv Sociedade Portuguesa de Nefrologia
dc.source.none.fl_str_mv Portuguese Journal of Nephrology & Hypertension v.32 n.4 2018
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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