IMPROVEMENT OF ACUTE RENAL FAILURE IN A PATIENT WITH ASYMPTOMATIC CARDIAC MURMUR
KANIYE AYDIN *
Department of Internal Medicine, Faculty of Medicine, Cukurova University, Adana, Turkey
SAIME PAYDAS
Department of Nephrology, Faculty of Medicine, Cukurova University, Adana, Turkey
EDA ALTUN
Department of Nephrology, Faculty of Medicine, Cukurova University, Adana, Turkey
BILAL ALTUNISIK
Department of Internal Medicine, Faculty of Medicine, Cukurova University, Adana, Turkey
YASIN GUZEL
Department of Cardiovascular Surgery, Faculty of Medicine, Cukurova University, Adana, Turkey
CAGLAR OZMEN
Department of Cardiology, Faculty of Medicine, Cukurova University, Adana, Turkey
MUSTAFA DEMIRTAS
Department of Cardiology, Faculty of Medicine, Cukurova University, Adana, Turkey
*Author to whom correspondence should be addressed.
Abstract
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