Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Infective Endocarditis Developing as Uremia
Makoto MIYAKEKazuhiro HATTATakayuki KAMEYAMAYoshihiro HIMURAHiromitsu GENYoichiro KOBASHITakashi KONISHI
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 6 Pages 598-602

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Abstract

A 49-year-old man presented with fever and uremic symptoms such as general malaise, leg edema and decreased urine output. He was diagnosed as having infective endocarditis (IE) accompanied by renal failure. Although he had been receiving hemodialysis for a long time, renal function dramatically improved after heart valve replacement. This case suggests that uremia can develop as an initial manifestation of IE and removal of an infected heart valve can improve renal function despite persistent renal failure. From the perspective of recovery of renal function, early surgery should be considered in patients with renal failure following IE.

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© 2005 by The Japanese Society of Internal Medicine
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