ABSTRACT
C albidus and mucormycosis were cultured simultaneously from the pleural space of a patient with end-stage renal disease receiving long-term hemodialysis. There have been only nine previous reports of infection with C albidus, with only one involving the lung. This organism has never before been isolated from the pleural space, and none of the previously reported cases included a coinfection with mucormycosis. We have reviewed and compared all known cases of infection with C albidus.
Subject(s)
Cryptococcosis/complications , Cryptococcus/isolation & purification , Empyema, Pleural/complications , Kidney Failure, Chronic/complications , Mucormycosis/complications , Adult , Aged , Amphotericin B/therapeutic use , Cryptococcosis/drug therapy , Cryptococcosis/physiopathology , Empyema, Pleural/drug therapy , Empyema, Pleural/physiopathology , Humans , Male , Middle Aged , Mucormycosis/drug therapy , Mucormycosis/physiopathology , Renal DialysisSubject(s)
Graft Survival , Kidney Transplantation/physiology , Tissue Donors , Actuarial Analysis , Adolescent , Adult , Age Factors , Aged , Cadaver , Child , Child, Preschool , Creatinine/blood , Humans , Infant , Kidney Transplantation/mortality , Middle Aged , Survival Analysis , Treatment OutcomeABSTRACT
Heparin-free hemodialysis allows demonstration of the intradialytic coagulation status not previously possible during standard heparin anticoagulant hemodialysis protocols in patients with end-stage renal disease. No evidence for consumptive coagulopathy was noted in the absence of heparin during hemodialysis with cuprophane hollow fiber dialyzers. Fibrinogen levels, euglobulin lysis time, and platelet counts remained stable throughout 3 hours of heparin-free hemodialysis. Serial thrombin times and platelet aggregation improved during heparin-free hemodialysis. Hemodialyzer volumes and the ultrafiltration coefficient decreased only minimally. The alternate pathway of complement activation associated with hemodialysis blood-membrane interaction is not prevented by heparin-free hemodialysis.
Subject(s)
Blood Coagulation , Complement Activation , Complement Pathway, Alternative , Renal Dialysis/methods , Adult , Aged , Female , Fibrinogen/metabolism , Heparin , Humans , Leukocyte Count , Male , Middle Aged , Platelet Adhesiveness , Platelet Aggregation , Platelet CountABSTRACT
A patient initially diagnosed by clinical findings and pulmonary biopsy as suffering from idiopathic hemosiderosis was subsequently proven by renal biopsy and serologic assay to have Goodpasture's syndrome with minimal renal alterations. The authors speculate on the relationship of these two complex disorders.
Subject(s)
Anti-Glomerular Basement Membrane Disease/diagnosis , Hemosiderosis/diagnosis , Lung Diseases/diagnosis , Adult , Anti-Glomerular Basement Membrane Disease/pathology , Biopsy , Diagnosis, Differential , Female , Fluorescent Antibody Technique , Hemosiderosis/pathology , Humans , Immunoglobulin G/analysis , Kidney/pathology , Kidney/ultrastructure , Lung Diseases/pathologySubject(s)
Hemoperfusion , Isoniazid/poisoning , Adolescent , Female , Humans , Isoniazid/pharmacokinetics , Male , Suicide, AttemptedABSTRACT
Arteriovenous fistula formation is a rare complication of percutaneous femoral vein cannulation for hemodialysis. Symptoms and physical findings may be elusive and the lesion can proceed unnoticed for extended periods of time. This complication is easily managed with surgical repair following rapid clinical and angiographic diagnosis. It is the purpose of this paper to report a case of delayed arteriovenous fistula formation 7 months following percutaneous insertion of an acute hemodialysis catheter into the femoral vein.
