PMID: 16792145Jun 24, 2006Paper

Bacterial meningitis--complication from a dialysis catheter

Clinical Nephrology
V SureshW Y Tse

Abstract

Various infective complications associated with dialysis catheter infection have been reported in the literature previously. We report a case of a hemodialysis patient presented with confusion and dysarthria secondary to Staphylococcus aureus septicemia and meningitis originating from a tunneled catheter used for providing dialysis. Blood cultures from the periphery, central venous catheter and culture of the line tip grew methicillin-sensitive Staphylococcus aureus. Lumbar puncture after CT brain confirmed Staphylococcus aureus. He was treated with high dose of an appropriate parenteral antibiotic and also removal of the infected line. In spite of optimal treatment, he died 15 days following his admission. The ideal option will be to use a definitive access like a fistula or AV graft, but in practice a significant proportion of hemodialysis patients is dialyzed with temporary or tunneled catheters all over the world, and infection poses a serious threat to dialysis patients resulting in significant mortality and morbidity. In patients with dialysis catheter-related sepsis, removal of the infected catheters and appropriate antibiotic treatment will prevent serious metastatic complications. Planning definitive access well ahead ...Continue Reading

Citations

Jun 25, 2008·Seminars in Dialysis·Adriana M Hung, T Alp Ikizler
Aug 28, 2007·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Eduardo LacsonRaymond M Hakim
Aug 8, 2014·Current Opinion in Otolaryngology & Head and Neck Surgery·Charissa N KahueDavid S Haynes

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