Subphrenic abscess as a complication of hemodialysis catheter-related infection.
Fernando Caravaca-FontánVictor BurgueraMilagros Fernández-LucasJosé Luis TeruelCarlos QueredaPublished in: Case reports in nephrology (2014)
We describe an unusual case of subphrenic abscess complicating a central venous catheter infection caused by Pseudomonas aeruginosa in a 59-year-old woman undergoing hemodialysis. The diagnosis was made through computed tomography, and Pseudomonas aeruginosa was isolated from the purulent drainage of the subphrenic abscess, the catheter tip and exit site, and the blood culture samples. A transesophageal echocardiography showed a large tubular thrombus in superior vena cava, extending to the right atrium, but no evidence of endocarditis or other metastatic infectious foci. Catheter removal, percutaneous abscess drainage, anticoagulation, and antibiotics resulted in a favourable outcome.
Keyphrases
- ultrasound guided
- pseudomonas aeruginosa
- vena cava
- computed tomography
- cystic fibrosis
- rare case
- inferior vena cava
- small cell lung cancer
- chronic kidney disease
- peritoneal dialysis
- magnetic resonance imaging
- squamous cell carcinoma
- atrial fibrillation
- acinetobacter baumannii
- venous thromboembolism
- pulmonary artery
- left ventricular
- positron emission tomography
- pulmonary hypertension
- left atrial appendage
- pulmonary embolism
- escherichia coli
- staphylococcus aureus
- catheter ablation
- dual energy
- pet ct