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KMID : 0359920110300050551
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Korean Journal of Nephrology
2011 Volume.30 No. 5 p.551 ~ p.556
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Infective Endocarditis with Cerebral Infarction in a Hemodialysis Patient with Failed Renal Allograft
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Jung Hee-Jae
You Byung-Chul
Myung Yu-Sik
Kim Eun-Jung
Park Moo-Yong
Choi Soo-Jeong
Kim Jin-Kuk
Hwang Seung-Duk
Koh Eun-Seok
Her Keun
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Abstract
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Infective endocarditis is a dreaded complication in dialysis or kidney transplantation patients, with high morbidity and mortality. Despite the improved early survival of the transplanted kidney with new immunosuppressive agents, the number of patients returning to dialysis after a failed renal allograft is increasing. There is no consensus on the optimal management of immunosuppression in patients with a failed allograft. Continued immunosuppression is associated with infection, and the rapid discontinuation of immunosuppression may lead to acute rejection. Therefore, it is important to taper the immunosuppression properly in patients with a failed renal allograft. We report on a hemodialysis patient with a failed renal allograft who had a cerebral infarction following infective endocarditis. The patient was treated successfully with antibiotics and valve replacement.
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KEYWORD
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Kidney transplantation, Hemodialysis, Endocarditis, Cerebral infarction
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