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Gram-negative infection as an unusual cause of endocarditis in a hemodialysis patient

Balakrishnan S 1 , Aamar A 2 , Rhee S 3 , Zakaria S 4 , Khaliq W 5

Affiliations 

  • 1 Shobana Balakrishnan, MBBS. Grantham & Kesteeven Hospital, Trauma & Orthopedics Department, Lincolnshire, United Kingdom.
  • 2 Ali Aamar, MBBS. Yale-Waterbury Hospital, Yale School of Medicine, Department of Internal Medicine, Waterbury, Connecticut, United State of America. [email protected]
  • 3 Susan Rhee, MD. Johns Hopkins University, School of Medicine, Division of Infectious Diseases, Baltimore, MD 21218, United States of America.
  • 4 Sammy Zakaria, MPH. Johns Hopkins University, School of Medicine, Department of Medicine, Baltimore, MD 21218, United States of America.
  • 5 Waseem Khaliq, MPH. Johns Hopkins University, School of Medicine, Department of Medicine, Baltimore, MD 21218, United States of America.
Med J Malaysia, 2016 Jun;71(3):152-3.
PMID: 27495894

Abstract

Gram-negative endocarditis is rare and it has high mortality if there is a delay in diagnosis and treatment. Gram-negative organisms should be considered in the differential diagnosis of IE in hemodialysis patients. Central lineassociated bloodstream infections (CLABSIs) can be prevented by following sterile measures during catheter insertion and proper management of catheter site.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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