ALAN S. CROSS, M.D.; ROY T. STEIGBIEGEL, M.D., F.A.C.P.
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To the editor: In their article, "Septicemia in Patients on Chronic Hemodialysis" (Ann Intern Med 88:28-33, 1978), Dobkin, Miller, and Steigbigel take issue with our recommendation that "access removal may be mandatory in the successful management of infective endocarditis in patients on hemodialysis" (1).
In part our comments were made to initiate a discussion of the proper management of access sites in the presence of infective endocarditis insofar as this aspect of management has been virtually ignored in the literature. Our suggestions were based on (a) the high mortality (53%) of patients with infective endocarditis with access sites (1); (b)
CROSS AS, STEIGBIEGEL RT. Septicemia and Chronic Hemodialysis. Ann Intern Med. ;89:576–577. doi: 10.7326/0003-4819-89-4-576
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Published: Ann Intern Med. 1978;89(4):576-577.
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