Journal of Case Reports in Medical Science
 

Journal of Case Reports in Medical Science, ISSN No. : 2456-9143, Vol.: 3, Issue.: 1

Case Report

IMPROVEMENT OF ACUTE RENAL FAILURE IN A PATIENT WITH ASYMPTOMATIC CARDIAC MURMUR

 

KANIYE AYDIN1*, SAIME PAYDAS2, EDA ALTUN2, BILAL ALTUNISIK1, YASIN GUZEL3, CAGLAR OZMEN4 AND MUSTAFA DEMIRTAS4
1Department of Internal Medicine, Faculty of Medicine, Cukurova University, Adana, Turkey.
2Department of Nephrology, Faculty of Medicine, Cukurova University, Adana, Turkey.
3Department of Cardiovascular Surgery, Faculty of Medicine, Cukurova University, Adana, Turkey.
4Department of Cardiology, Faculty of Medicine, Cukurova University, Adana, Turkey.

Abstracts

Infective endocarditis (IE) refers to infection of the endocardial surface of the heart. Uremia can be an initial manifestation of IE. In a patient presenting with acute renal failure (ARF), asymptomatic pansystolic murmur resulted in diagnosis of IE. Severe mitral regurgitation (MR) and large vegetation were found in echocardiographic examination. Following antibiotic therapy renal function improved. Due to large vegetation and perforation on the mitral valve, patient was operated for mitral valve replacement. Postoperative period was uneventful. On last examination, he had nephrotic range proteinuria. In this paper IE and renal lesions were discussed. We would like to pay attention to the fact that in the absence of fever and positive blood cultures, endocarditis can develop and cause serious clinical signs.

Keywords :

Acute renal failure; infective endocarditis; asymptomatic cardiac murmur.