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A Case of Infective Endocarditis in an End-Stage Renal Disease Patient Caused by Candida famata
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±èÁ¤°ü(Kim Jeong-Gwan) - ¿¹¼öº´¿ø ½ÅÀå³»°ú
ȲÇöö(Whang Hyun-Chul) - Çö´ëÁß¾Óº´¿ø ½ÅÀå³»°ú
ÀåÁö¿¬(Jang Ji-Yeon) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÇϼºÀº(Ha Sung-Eun) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±èµ¿ÈÖ(Kim Dong-Hwi) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÃÖ¹ü¼ø(Choi Bum-Soon) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Abstract
Ç÷¾×Åõ¼® ÁßÀÎ ¸¸¼º ½ÅºÎÀü ȯÀÚ¿¡¼ ¹ß»ýÇÏ´Â Áø±Õ¼º ½É³»¸·¿°Àº ÀϹÝÀû °¨¿°¼º ½É³»¸·¿°º¸´Ù ¹ß»ýºóµµ´Â ÀûÀ¸³ª ¿¹ÈÄ´Â ÁÁÁö ¾Ê´Ù. ±×·¸±â ¶§¹®¿¡ ÀǽɵǴ ¼Ò°ßÀ» º¸ÀÌ¸é °æÈäºÎ ½ÉÀåÃÊÀ½ÆÄ¿Í ÇÔ²² °æ½Äµµ ½ÉÀåÃÊÀ½ÆÄÀÇ Àû±ØÀûÀÎ °Ë»ç·Î ºü¸¥ Áø´Ü°ú Ä¡·á°¡ ÇÊ¿äÇÏ´Ù.
Infective endocarditis is rare in end-stage renal disease (ESRD) patients, who have a poorer prognosis than the general population. Candida endocarditis is rare and has a poor prognosis among causes of infective endocarditis. A 45-year-old male was admitted with sepsis combined with a hematoma on his right back. Candida famata was cultured in his blood. We treated him with antifungal agents. Echocardiography was performed to identify vegetations and diagnose endocarditis. In this case, surgical therapy was impossible because the patient¡¯s condition had deteriorated. We also administered antibiotics because methicillin-resistant Staphylococcus aureus was cultured from his sputum and a perianal abscess. The symptoms did not improve despite the ongoing treatment. Metabolic acidosis, hypotension, and a decreased state of consciousness developed and he died. We report a rare case of Candida endocarditis in an ESRD patient on hemodialysis.
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Hemodialysis, Infective endocarditis, Candida, Hematoma
KMID :
0882420140860030349
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