만성 신부전 환자에서 내경정맥 도관 감염에 의한 농흉 1예

• Published in: Kidney research and clinical practice pp. 936 - 940
• Main Authors: 차현민, 김영옥, 김순섭, 임현미, 윤정민, 김기범, 윤선애, 윤지영, 방병기
• Format: Journal Article
• Language: Korean
• Published: 대한신장학회 01.09.2001
• Subjects: 내과학
• ISSN: 2211-9132; 2211-9140

Central catheterization for temporary vascular access in hemodialysis patients may cause serious catheter-related infection such as bacteremia, osteomyelitis, and septic shock. We here report a case of unusual complication of catheter-related infection in a hemodialysis patient with internal jugular catheter. A 44-year old man was admitted due to intermittent fever and right chest discomfort. Five weeks ago, right internal jugular catheter was inserted for hemodialysis. Three weeks ago, He stopped hemodialysis treatment and exit site skin care of the catheter by himself. Chest X-ray showed massive right pleural effusion. But the catherter was normally positioned in superior vena cava. Both blood and pleural fluid cultures demonstrated Staphylococcus aureus. After prompt removal of the catheter and drainage of the pleural fluid, and adequate antibiotic treatment, catheter-related bacteremia and pleural effusion improved. KCI Citation Count: 1