An unusual case of central venous catheter-related bacteremia

J Vasc Access. 2012 Jan-Mar;13(1):122-3. doi: 10.5301/JVA.5000010.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • 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

Substances

  • Anti-Bacterial Agents