title: An unusual case of central venous catheter-related bacteremia.
abstract: Some hemodialysed patients need definitive central venous catheterization. One of the main complications is catheter infection, and each infection must be treated. We report a case of an unusual cause of central venous catheter (CVC) infection: physical examination and catheter opacification demonstrated two pin-holes in the catheter. It was possible to salvage the catheter following a treatment regimen combining systemic antibiotics, antibiotic locks, fibrinolytics, and removal of a catheter segment.
authors.affiliation: Department of Nephrology, Bretonneau Hospital, Tours, France. julibadin@gmail.com
authors.forename: Julie
authors.initials: J
authors.lastname: Badin
authors.forename: Maud
authors.initials: M
authors.lastname: François
authors.forename: Béatrice
authors.initials: B
authors.lastname: Birmelé
authors.forename: Luc
authors.initials: L
authors.lastname: Turmel-Rodrigues
authors.forename: Hubert
authors.initials: H
authors.lastname: Nivet
authors.forename: Josette
authors.initials: J
authors.lastname: Pengloan
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D055499:Catheter-Related Infections / Q000382:microbiology* / Q000628:therapy; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D020878:Device Removal; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging; D010690:Phlebography; D012008:Recurrence; D006435:Renal Dialysis; D016879:Salvage Therapy; D013203:Staphylococcal Infections / Q000382:microbiology* / Q000628:therapy; D013212:Staphylococcus epidermidis / Q000302:isolation & purification*; D015912:Thrombolytic Therapy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents