Korean J Nephrol.  2010 Nov;29(6):824-828.

Multiple Metastatic Infection Related to Arteriovenous Graft Infection in an ESRD Patient on Hemodialysis

Affiliations
  • 1Division of Nephrology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. nephjo@kuh.ac.kr
  • 2Division of Infectious Disease, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.

Abstract

Arteriovenous vascular access infection associated with S. aureus bacteremia may cause metastatic complications, which relate to a poor outcome especially if proper diagnosis and treatment are delayed. We report a case of a 61-year-old male patient on maintenance hemodialysis who developed multiple metastatic infections associated with arteriovenous graft infection caused by methicillin-resistant Staphylococcus aureus (MRSA). At 7th hospital day, multiple metastatic infections, including osteomyelitis of clavicle, vertebral osteomyelitis, and tendinitis of the 5th finger proximal interphalangeal joint, were diagnosed by CT of chest, ultrasonography of hands, and whole body bone scan. Infected arteriovenous graft was removed and antibiotics was administrated for 18 weeks. Thereafter, MRSA bacteremia and clinical symptoms and signs related to metastatic infections were improved.

Keyword

Hemodialysis; Graft; Methicillin-Resistant staphylococcus aureus; Bacteremia

MeSH Terms

Anti-Bacterial Agents
Bacteremia
Clavicle
Fingers
Hand
Humans
Joints
Kidney Failure, Chronic
Male
Methicillin-Resistant Staphylococcus aureus
Middle Aged
Osteomyelitis
Polymethacrylic Acids
Renal Dialysis
Tendinopathy
Thorax
Transplants
Anti-Bacterial Agents
Polymethacrylic Acids
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