CASE REPORT article
Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1570949
This article is part of the Research TopicExploring New Frontiers in Heart Surgery: Case Studies 2025View all 7 articles
Case Report: Infective Endocarditis Following Arteriovenous Graft in a Peritoneal Dialysis Patient
Provisionally accepted
- Jinhua Municipal Central Hospital (Affiliated Jinhua Hospital, School Of Medicine, Zhejiang University ), Jinhua, China
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Infective endocarditis (IE) is a severe and frequently fatal complication in dialysis patients, particularly those with vascular access devices such as arteriovenous grafts (AVGs) or fistulas. We describe the case of a 55-year-old male with end-stage renal disease (ESRD) on peritoneal dialysis (PD), who developed advanced IE following repeated punctures of an AVG. The patient initially presented with fever, erythema, and swelling at the graft site, which progressed to bacteremia due to Staphylococcus aureus. Despite completing a full course of antibiotics and undergoing both mitral and aortic valve replacement, the patient suffered recurrent episodes of acute heart failure requiring repeated hospital admissions. This rare case highlights the substantial risk of IE in dialysis patients with vascular access devices and the importance of early detection and timely intervention. The clinical difficulties and economic strain associated with IE management in this population point to the need for close surveillance, rapid diagnosis, and individualized treatment plans to improve outcomes and control healthcare expenditures.
Keywords: Infective endocarditis, Peritoneal Dialysis, Arteriovenous graft, end-stage renal disease, Staphylococcus aureus
Received: 06 Feb 2025; Accepted: 06 Jun 2025.
Copyright: © 2025 Huang, Zhang, Xu, Ying, Fan, Li and Huang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jian Huang, Jinhua Municipal Central Hospital (Affiliated Jinhua Hospital, School Of Medicine, Zhejiang University ), Jinhua, China
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