腎梗塞を契機として発見された感染性心内膜炎の1例

中山 貴之; 横山 みなと; 齋藤 一隆; 竹中 俊介; 久保 雄一; 飯村 康正; 沼尾 昇; 酒井 康之; 古賀 文隆; 藤井 靖久; 小林 剛; 川上 理; 木原 和徳

doi:10.5980/jpnjurol.100.504

Case Reports

A CASE OF INFECTIVE ENDOCARDITIS DIAGNOSED WITH RENAL INFARCTION

Takayuki Nakayama, Minato Yokoyama, Kazutaka Saito, Shunsuke Takenaka, Yuichi Kubo, Yasumasa Iimura, Noboru Numao, Yasuyuki Sakai, Fumitaka Koga, Yasuhisa Fujii, Tsuyoshi Kobayashi, Satoru Kawakami, Kazunori Kihara

Author information

Takayuki Nakayama
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Minato Yokoyama
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Kazutaka Saito
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Shunsuke Takenaka
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Yuichi Kubo
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Yasumasa Iimura
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Noboru Numao
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Yasuyuki Sakai
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Fumitaka Koga
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Yasuhisa Fujii
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Tsuyoshi Kobayashi
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Satoru Kawakami
The Department of Urology, Graduate School, Tokyo Medical and Dental University
Kazunori Kihara
The Department of Urology, Graduate School, Tokyo Medical and Dental University

Keywords: Renal Infarction, Infective Endocarditis, Embolism

JOURNAL FREE ACCESS

2009 Volume 100 Issue 3 Pages 504-507

DOI https://doi.org/10.5980/jpnjurol.100.504

Details

Abstract

A 46-year-old woman with sudden on set strong right flank pain was transferred to our hospital with the diagnosis of right renal infarction. Cardiac ultrasonography revealed a vegetation on the posterior cusp of the mitral valve, and the renal infarction was thought to be caused by renal artery embolism from infective endocarditis. Since the vegetation remained after antimicrobial therapy as conservative management, the patient was surgically treated by mitral annuloplasty.
It has been known that infective endocarditis can cause renal infarction. Infective endocarditis requires immediate and adequate treatment because of high mortality. Therefore, the appropriate diagnosis of infective endocarditis is needed for patients with renal infarction without any other disorder causing renal infarction.

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