Unusual Complication of Hemodialysis Cuffed Catheter Tunnel Infection and Unconventional Therapeutical Decision: A Report of Two Cases

Introduction. Infectious complications are the most common chronic complications observed in patients undergoing hemodialysis with central venous catheters. However, despite the efforts of a large number of medical professionals, tunnel catheters are increasingly being used for hemodialysis in the e...

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Published inCase reports in surgery Vol. 2018; no. 2018; pp. 1 - 3
Main Authors Borisov, Biser K., Linkova, Stela P.
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2018
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Wiley
Subjects
Antibiotics
Case Report
Case reports
Catheters
Clinical medicine
Complications
Dialysis
Disease prevention
Health aspects
Hemodialysis
Infection
Infections
Infectious diseases
Iodine
Medical instruments
Medical personnel
Nephrology
Patients
Povidone
Secretion
Skin
Systematic review
Tunnels
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Summary:Introduction. Infectious complications are the most common chronic complications observed in patients undergoing hemodialysis with central venous catheters. However, despite the efforts of a large number of medical professionals, tunnel catheters are increasingly being used for hemodialysis in the everyday practice. Case Report. We describe two cases of an equal complication of a tunnel infection wherein the catheter becomes naked after self-rupture of the purulent secretion. We did not replace the tunnel catheter but applied a skin plastic by rotation flaps over the affected area, which proved to be sufficient. Six months after the intervention, the patients continue their hemodialysis treatment using the same cuffed catheters; the taken chemocultures do not give rise only to bacterial growth and skin plastic has been healed primary. Conclusions. The two cases described by us represent one treatment option, which may be discussed with reference to such specific two cases in practice.
Bibliography:Academic Editor: Oded Olsha
ISSN:2090-6900
2090-6919
DOI:10.1155/2018/2405864