Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related Infection

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 o...

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Main Authors: Fernando Caravaca, Victor Burguera, Milagros Fernández-Lucas, José Luis Teruel, Carlos Quereda
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2014/502019
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author Fernando Caravaca
Victor Burguera
Milagros Fernández-Lucas
José Luis Teruel
Carlos Quereda
author_facet Fernando Caravaca
Victor Burguera
Milagros Fernández-Lucas
José Luis Teruel
Carlos Quereda
author_sort Fernando Caravaca
collection DOAJ
description 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.
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series Case Reports in Nephrology
spelling doaj-art-805917aefffc4ceebcb2ca960c4fc5ec2025-08-20T02:08:39ZengWileyCase Reports in Nephrology2090-66412090-665X2014-01-01201410.1155/2014/502019502019Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related InfectionFernando Caravaca0Victor Burguera1Milagros Fernández-Lucas2José Luis Teruel3Carlos Quereda4Department of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, SpainDepartment of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, SpainDepartment of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, SpainDepartment of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, SpainDepartment of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, SpainWe 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.http://dx.doi.org/10.1155/2014/502019
spellingShingle Fernando Caravaca
Victor Burguera
Milagros Fernández-Lucas
José Luis Teruel
Carlos Quereda
Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related Infection
Case Reports in Nephrology
title Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related Infection
title_full Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related Infection
title_fullStr Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related Infection
title_full_unstemmed Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related Infection
title_short Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related Infection
title_sort subphrenic abscess as a complication of hemodialysis catheter related infection
url http://dx.doi.org/10.1155/2014/502019
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