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Ann Med Surg (Lond). 2021 Jun 20;67:102522. doi: 10.1016/j.amsu.2021.102522. eCollection 2021 Jul.

Aortic infective endocarditis decompensated by alithiasic cholecystitis in a patient on hemodialysis: Case report.

Annals of medicine and surgery (2012)

Amadou Baragé, Seydou Harouna Idrissa, Karim Mounaouir, Imad Nouamou, Abdennaser Drighil, Leila Azzouzi, Rachida Habbal

Affiliations

  1. Department of Cardiology, IBN ROCHD University Hospital, Casablanca, B.P, 5696, Casablanca, Morocco.
  2. Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, B.P, 5696, Casablanca, Morocco.

PMID: 34257960 PMCID: PMC8253946 DOI: 10.1016/j.amsu.2021.102522

Abstract

Infective endocarditis is an uncommon disease, which most often affects elderly subjects at risk or with favorable factors. Its prognosis is guarded with complications or decompensating factors that are often formidable. We report the case of an acute endocarditis decompensated by acute alithiasic cholecystitis in a 52-year-old patient, with a history of diagnosed end-stage renal failure (GFR 7 ml/min according to the MDRD) for 4 weeks, of undetermined etiology, undergoing hemodialysis, followed for aortic disease for 6 years (IAO grade II, RAO loose). After 6 weeks, the evolution was favorable under adapted and early antibiotic treatment and associated hygiene measures including gastric rest. Infective endocarditis remains a serious pathology, due to its high morbi-mortality. The association of acute infective endocarditis and acute alithiasic cholecystitis is of reserved prognosis especially on a ground of immunodepression like the end-stage chronic renal failure. This association requires a rapid and efficient management.

© 2021 The Authors.

Keywords: CT Scan; Cholecystitis alithiasic; Hemodialysis; Infective endocarditis

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