Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related Infection

Abstract

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.

Lung Abscess–a Rare Complication in Hemodialysis Patients With a Central Venous Catheter

“…The incidence of bacteremia was estimated to be 1.8 to 6.2/1000 catheterdays (CD) for tunneled and non-tunneled catheters, respectively [5]. Metastatic complications such as endocarditis [6], osteomyelitis, abdominal abscess [7], infectious ar-https://doi.org/10.5272/jimab.2023293.5062 thritis, catheter sepsis, etc., have an incidence of about 1.1/1000 CD [5].…”