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An Uncommon Cause of Recurrent Dialysis Catheter-Related Bacteremia
Ng Chee Yong1, Yeon Wenxiang1, Chai Siang Chew2
1Renal Medicine, Changi General Hospital, Singapore, SGP.
Abstract:
A 54-year-old man on maintenance hemodialysis with recurrent catheter-related bloodstream infections due to Staphylococcus aureus was admitted. Multiple prior transthoracic echocardiograms failed to reveal any vegetation. Subsequently on transesophageal echocardiography a mass consistent with fibrin sheath vegetations was identified and a follow-up diagnostic computed tomography (CT) venogram confirmed the presence of a fibrin sheath with vegetations.
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