Korean Journal of Nephrology 2001;20(5):936-940.

증례 : 만성 신부전 환자에서 내경정맥 도관 감염에 의한 농흉 1 예 (Case Reports : Pleural Effusion Caused by Central Catheter - Related Infection in a Hemodialysis Patient)

차현민(Hyun Min Cha),김영옥(Young Ok Kim),김순섭(Soon Sub Kim),임현미(Hyun Mi Rhim),윤정민(Jung Min Yoon),김기범(Ki Beom Kim),윤선애(Sun Ae Yoon),윤지영(Ji Young Yun),방병기(Byung Kee Bang)

Abstract

Central catheterization for temporary vascular access in hemodialysis patients may cause serious catheter-related infection such as bacteremia, osteomyelitis, and septic shock. We here report a case of unusual complication of catheter-related infection in a hemodialysis patient with internal jugular catheter. A 44-year old man was admitted due to intermittent fever and right chest discomfort. Five weeks ago, right internal jugular catheter was inserted for hemodialysis. Three weeks ago, He stopped hemodialysis treatment and exit site skin care of the catheter by himself. Chest X-ray showed massive right pleural effusion. But the catherter was normally positioned in superior vena cava. Both blood and pleural fluid cultures demonstrated Staphylococcus aureus. After prompt removal of the catheter and drainage of the pleural fluid, and adequate antibiotic treatment, catheter-related bacteremia and pleural effusion improved.