Bacterial Endocarditis as a Possible Complication of Chronic Hemodialysis

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Abstract
THE management of chronic renal failure by intermittent hemodialysis entails a definite risk of bacteremic infection.1 , 2 However, an association of bacterial endocarditis with periodic hemodialysis has not previously been stressed. The occurrence of two cases of bacterial endocarditis among 47 patients participating in an intermittent-hemodialysis program prompts the present report.Case 1. A 32-year-old man with progressive symptoms of uremia from chronic glomerulonephritis was begun on biweekly hemodialysis through a surgically created subcutaneous arteriovenous shunt. Two months later his teeth were cleaned by a dentist. On the following day, he became febrile, and a blood culture taken at that time . . .