Premium
Iliopsoas abscess as a complication of tunneled jugular vein catheterization in a hemodialysis patient
Author(s) -
Hsiao PoJen,
Tsai MingHsien,
Leu JyhGang,
Fang YuWei
Publication year - 2015
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/hdi.12197
Subject(s) - medicine , iliopsoas , hemodialysis , surgery , abscess , infective endocarditis , hemodialysis catheter , bacteremia , jugular vein , complication , catheter , endocarditis , discitis , femoral vein , internal jugular vein , radiology , magnetic resonance imaging , microbiology and biotechnology , biology , antibiotics
Iliopsoas abscess is a rare complication in hemodialysis patients that is mainly due to adjacent catheterization, local acupuncture, discitis, and bacteremia. Herein, we report a 47‐year‐old woman undergoing regular hemodialysis via a catheter in the internal jugular vein who presented with low back pain and dyspnea. A heart murmur suggested the presence of catheter‐related endocarditis, and this was confirmed by an echocardiogram and a blood culture of methicillin‐resistant S taphylococcus aureus . A computed tomography indicated a pulmonary embolism and an incidental finding of iliopsoas abscess. Following surgical intervention and intravenous daptomycin, the patient experienced full recovery and a return to usual activities. This case indicates that an iliopsoas abscess can be related to a jugular vein catheter, which is apparently facilitated by infective endocarditis. The possibility of iliopsoas abscess should be considered when a hemodialysis patient presents with severe low back pain, even when there is no history of adjacent mechanical intervention.