title: Subphrenic abscess as a complication of hemodialysis catheter-related infection.
abstract: We describe an unusual case of subphrenic abscess complicating a central venous catheter infection caused by Pseudomonas aeruginosa in a 59-year-old woman undergoing hemodialysis. The diagnosis was made through computed tomography, and Pseudomonas aeruginosa was isolated from the purulent drainage of the subphrenic abscess, the catheter tip and exit site, and the blood culture samples. A transesophageal echocardiography showed a large tubular thrombus in superior vena cava, extending to the right atrium, but no evidence of endocarditis or other metastatic infectious foci. Catheter removal, percutaneous abscess drainage, anticoagulation, and antibiotics resulted in a favourable outcome.
authors.affiliation: Department of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: Fernando
authors.identifier: 0000-0002-5830-9663
authors.initials: F
authors.lastname: Caravaca
authors.affiliation: Department of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: Victor
authors.initials: V
authors.lastname: Burguera
authors.affiliation: Department of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: Milagros
authors.initials: M
authors.lastname: Fernández-Lucas
authors.affiliation: Department of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Teruel
authors.affiliation: Department of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Quereda
references.citation: Nephrol Dial Transplant. 2010 Oct;25(10):3332-7
references.pmid: 20339100
references.citation: Nephrol Dial Transplant. 2007 Mar;22(3):939-41
references.pmid: 17124278
references.citation: J Am Soc Nephrol. 1999 May;10(5):1045-9
references.pmid: 10232691
references.citation: Nephrol Dial Transplant. 2006 May;21(5):1328-33
references.pmid: 16421157
references.citation: Nat Rev Nephrol. 2011 May;7(5):257-65
references.pmid: 21423251
references.citation: Am J Kidney Dis. 1999 Dec;34(6):1114-24
references.pmid: 10585322
references.citation: Thorax. 1956 Sep;11(3):211-22
references.pmid: 13371571
references.citation: Kidney Int. 2011 Mar;79(6):587-598
references.pmid: 21178979
references.citation: Infect Immun. 2013 Aug;81(8):2705-13
references.pmid: 23690403
references.citation: Nephrol Dial Transplant. 2006 Nov;21(11):3185-8
references.pmid: 16891646
references.citation: Nephrol Dial Transplant. 1999 Jul;14(7):1710-4
references.pmid: 10435881