Huge Infected Thrombus of Right Atrium Related to Hemodialysis Catheter.
- Author:
Bo Hee LEE
1
;
Hyun Gyung KIM
;
Ja Young LEE
;
Bong Koo KANG
;
Eui Sung CHUNG
;
Kwang Il SEO
;
Jin Hee NO
;
Yoo Dong WON
;
Young Soo KIM
;
Sun Ae YOON
;
Young Ok KIM
Author Information
1. Department of Internal Medicine, College of Medicine The Catholic University of Korea, Seoul, Korea. cmckyo@catholic.ac.k
- Publication Type:Case Report
- Keywords:
Thrombosis;
Catheter-related infection;
Hemodialysis
- MeSH:
Adult;
Catheter-Related Infections;
Catheterization, Central Venous;
Catheters;
Central Venous Catheters;
Dyspnea;
Echocardiography;
Esophageal and Gastric Varices;
Female;
Fever;
Heart Atria;
Hemorrhage;
Humans;
Pneumonia;
Pulmonary Embolism;
Renal Dialysis;
Staphylococcus aureus;
Thorax;
Thrombosis;
Vancomycin
- From:Korean Journal of Nephrology
2009;28(5):514-518
- CountryRepublic of Korea
- Language:Korean
-
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.
