Huge Infected Thrombus of Right Atrium Related to Hemodialysis Catheter / 대한신장학회지
Korean Journal of Nephrology
;
: 514-518, 2009.
Artigo
em Coreano
| WPRIM
| ID: wpr-158401
ABSTRACT
There has been an increase in the use of central venous catheters for temporary hemodialysis. Infected thrombus of right atrium is a rare but life-threatening complication of the central venous catheterization. A 35-year-old female hemodialysis patient was admitted with fever and dyspnea. She had been inserted tunneled hemodialysis catheter 2 months before. Blood cultures revealed methicillin- resistant Staphylococcus aureus. Chest CT showed multi-focal pneumonia and 4 cm sized huge thrombus in the right atrium. Echocardiography demonstrated same thrombus attached to the catheter tip in the right atrium. The catheter could not be removed because of high risk of pulmonary thromboembolism. Despite intravenous vancomycin treatment, the patient died from esophageal varix bleeding.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Embolia Pulmonar
/
Staphylococcus aureus
/
Tórax
/
Trombose
/
Cateterismo Venoso Central
/
Ecocardiografia
/
Vancomicina
/
Varizes Esofágicas e Gástricas
/
Diálise Renal
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Nephrology
Ano de publicação:
2009
Tipo de documento:
Artigo
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