Edocardite infectieuse aigue sur catheter chez des hemodialyses: a propos de trois cas au CHUYO de Ougadougou

ABSTRACT

The authors report three cases of catheter-related acute infective endocarditis (IE) in hemodialysis patients observed at our hospital over a 10-months period. There were two men and women respectively 43; 33 and 40 years old. They suffered from hypertension for many years and end-stage renal failure since a month before hemodialysis. The diagnosis of IE was suspected clinically (non controlled infection and heart failure). Every patient had central venous in two or three locations. Femoral and jugular venous septic thrombophlebitis were related to staphylococcus aureus. The catheters were with drawn; their cultures showed staphylococcus aureus. Hemocultures were sterile. Vegetations and mutilations were found by echocardiography on aortic valve. These three cases are related to acute IE; all patients have died. Catheter-related acute IE prognosis is bad and some investigations (hemocultures; echocardiography) are needed regularly in patients with risk in order to give drugs and to remove catheter