z-logo
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.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here