title: A rare case of Aeromonas hydrophila catheter related sepsis in a patient with chronic kidney disease receiving steroids and dialysis: a case report and review of Aeromonas infections in chronic kidney disease patients.
abstract: Aeromonas hydrophila (AH) is an aquatic bacterium. We present a case of fifty-five-year-old gentleman with chronic kidney disease (CKD) due to crescentic IgA nephropathy who presented to us with fever. He was recently pulsed with methyl prednisolone followed by oral prednisolone and discharged on maintenance dialysis through a double lumen dialysis catheter. Blood culture from peripheral vein and double lumen dialysis catheter grew AH. We speculate low immunity due to steroids and uremia along with touch contamination of dialysis catheter by the patient or dialysis nurse could have led to this rare infection. Dialysis catheter related infection by AH is rare. We present our case here and take the opportunity to give a brief review of AH infections in CKD patients.
authors.affiliation: Section of Nephrology Department of Medicine, Aga Khan University Hospital, Karachi 74800, Pakistan.
authors.forename: Muhammad Abdul Mabood
authors.initials: MA
authors.lastname: Khalil
authors.affiliation: Section of Nephrology Department of Medicine, Aga Khan University Hospital, Karachi 74800, Pakistan.
authors.forename: Abdur
authors.initials: A
authors.lastname: Rehman
authors.affiliation: Section of Nephrology Department of Medicine, Aga Khan University Hospital, Karachi 74800, Pakistan.
authors.forename: Waqar Uddin
authors.initials: WU
authors.lastname: Kashif
authors.affiliation: Department of Nephrology, Kuala Belait Hospital, Kuala Belait KA1131, Brunei Darussalam.
authors.forename: Manickam
authors.initials: M
authors.lastname: Rangasami
authors.affiliation: Department of Nephrology, RIPAS Hospital, Bander Seri Begwan BA1710, Brunei Darussalam.
authors.forename: Jackson
authors.initials: J
authors.lastname: Tan