Saudi Journal of Kidney Diseases and Transplantation

RENAL DATA FROM THE ARAB WORLD
Year
: 2011  |  Volume : 22  |  Issue : 1  |  Page : 160--166

Infective endocarditis in chronic hemodialysis patients: Experience from Morocco


Dina Montasser1, Abdelali Bahadi2, Yassir Zajjari2, Mohamed Asserraji2, Ahmed Alayoude2, Omar Moujoud2, Toufik Aattif2, Moncef Kadiri2, Nadir Zemraoui2, Driss El Kabbaj2, Mohamed Hassani2, Mohamed Benyahia2, Mustapha El Allam2, Zouhir Oualim2, Ismail Akhmouch1 
1 Agadir Hemodialysis Center, First Medical Center, Agadir, Morocco
2 Department of Nephrology, Dialysis and Renal Transplantation, Military Hospital Mohammed V, Rabat, Morocco

Correspondence Address:
Ismail Akhmouch
Service de Nephro-Hemodialyse, Etat Major General, Agadir
Morocco

Since the 1960s, regular hemodialysis (HD) was recognized as a risk factor for the development of infective endocarditis (IE), particularly at vascular access sites. The present report describes our experience at the Etat Major General Agadir, Morocco, of taking care of IE in patients on regular dialysis. A retrospective analysis was made of five cases of IE in patients receiving re­gular HD having arteriovenous fistula as vascular access. They were sent from four private centers and admitted in our formation between January 2004 and March 2009. Infective endocarditis was detected after 34.5 months following initiation of dialysis. The causative organisms included Sta­phylococcus and Enterococcus in two cases each and negative blood culture in one case. A recent history of infection (<3 months) of the vascular access was found in three cases. Peripheric embolic phenomena were noted in two cases. A pre-existing heart disease was common and contributed to heart failure. Mortality was frequent due to valvular perforations and congestive heart failure, making the medical treatment alone unsatisfactory. Two patients survived and three of our patients received a prosthetic valve replacement, with a median survival after surgery of 10.3 months/person. The clinical diagnosis of infective endocarditis in regularly dialyzed patients remains difficult, with the presence of vascular calcification as a common risk factor. The vascular catheter infections are the cardinal gateway of pathogenic organisms, which are mainly Staphlococcus. The prognosis is bad and the mortality is significant, whereas medical and surgical treatments are often established in these patients who have many factors of comorbidity.


How to cite this article:
Montasser D, Bahadi A, Zajjari Y, Asserraji M, Alayoude A, Moujoud O, Aattif T, Kadiri M, Zemraoui N, El Kabbaj D, Hassani M, Benyahia M, El Allam M, Oualim Z, Akhmouch I. Infective endocarditis in chronic hemodialysis patients: Experience from Morocco.Saudi J Kidney Dis Transpl 2011;22:160-166


How to cite this URL:
Montasser D, Bahadi A, Zajjari Y, Asserraji M, Alayoude A, Moujoud O, Aattif T, Kadiri M, Zemraoui N, El Kabbaj D, Hassani M, Benyahia M, El Allam M, Oualim Z, Akhmouch I. Infective endocarditis in chronic hemodialysis patients: Experience from Morocco. Saudi J Kidney Dis Transpl [serial online] 2011 [cited 2020 Jul 13 ];22:160-166
Available from: http://www.sjkdt.org/article.asp?issn=1319-2442;year=2011;volume=22;issue=1;spage=160;epage=166;aulast=Montasser;type=0