Port-A catheter-associated Nocardia bacteremia detected by gallium inflammation scan: a case report and literature review.
Central venous catheter-associated Nocardia bacteremia is rarely reported. We present the case of a 48-y-old male with a history of advanced T-cell lymphoma who suffered from recurrent fever and persistent Gram-positive bacillus bacteremia. Port-A catheter-associated Nocardia bacteremia was diagnosed on the basis of the clinical response to removal of the catheter and the finding of increased gallium uptake, along with the Port-A catheter presented in the gallium inflammation scan.
Lai
Chung-Hsu
CH
Section of Infectious Diseases, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan. laich@vghtpe.gov.tw
Chi
Chih-Yu
CY
Chen
Hsin-Pai
HP
Lai
Chorng-Jang
CJ
Fung
Chang-Phone
CP
Liu
Cheng-Yi
CY
D000900:Anti-Bacterial Agents; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D016470:Bacteremia / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D018450:Disease Progression; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004866:Equipment Contamination; D017809:Fatal Outcome; D005708:Gallium; D006801:Humans; D016399:Lymphoma, T-Cell / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology; D011877:Radionuclide Imaging; D012720:Severity of Illness Index
D000900:Anti-Bacterial Agents; D005708:Gallium