Unusual cardiac outcomes of bacteremia due to Staphylococcus aureus infection: a case report
1 ABC Medical School, Santo André, SP, Av. Príncipe de Gales, 821, Santo André, SP, 09060-650, Brazil
2 Laboratory of Pathology, Heart Institute (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 44, São Paulo, SP, 05403-900, Brazil
3 Department of Cardiology, Intensive Care Unit, Heart Institute (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 44, São Paulo, SP, 05403-900, Brazil
Journal of Medical Case Reports 2012, 6:326 doi:10.1186/1752-1947-6-326Published: 26 September 2012
Patients on hemodialysis, particularly those with temporary non-tunneled dialysis access, constitute a high-risk population for bloodstream infections associated with significant morbidity and mortality rates. This population also has a high prevalence of cardiovascular diseases with poor prognosis.
We report the case of a 62-year-old Caucasian man with end-stage renal disease undergoing hemodialysis, who presented with an eventually lethal case of staphylococcal septicemia with an unusual involvement of the heart, including bacterial coronary arteritis, myocardial abscesses and papillary muscle infarction and rupture, along with complications involving other organs.
It is important to try to minimize invasive procedures in patients who are hemodialysis dependent. The strict control of heart function is indicated considering the large spectrum of unusual cardiac complications.