An Unusual Case of Central Venous Catheter-Related Bacteremia

Some hemodialysed patients need definitive central venous catheterization. One of the main complications is catheter infection, and each infection must be treated. We report a case of an unusual cause of central venous catheter (CVC) infection: physical examination and catheter opacification demonst...

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Veröffentlicht in:	The journal of vascular access 2012-01, Vol.13 (1), p.122-123
Hauptverfasser:	Badin, Julie, François, Maud, Birmelé, Béatrice, Turmel-Rodrigues, Luc, Nivet, Hubert, Pengloan, Josette
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged, 80 and over Anti-Bacterial Agents - therapeutic use Catheter-Related Infections - microbiology Catheter-Related Infections - therapy Catheterization, Central Venous - adverse effects Catheterization, Central Venous - instrumentation Catheters, Indwelling - adverse effects Device Removal Equipment Design Equipment Failure Female Humans Jugular Veins - diagnostic imaging Phlebography Recurrence Renal Dialysis Salvage Therapy Staphylococcal Infections - microbiology Staphylococcal Infections - therapy Staphylococcus epidermidis - isolation & purification Thrombolytic Therapy Treatment Outcome
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Zusammenfassung:	Some hemodialysed patients need definitive central venous catheterization. One of the main complications is catheter infection, and each infection must be treated. We report a case of an unusual cause of central venous catheter (CVC) infection: physical examination and catheter opacification demonstrated two pin-holes in the catheter. It was possible to salvage the catheter following a treatment regimen combining systemic antibiotics, antibiotic locks, fibrinolytics, and removal of a catheter segment.
ISSN:	1129-7298 1724-6032
DOI:	10.5301/JVA.5000010