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Cavitary pulmonary disease in a patient on dialysis
Author(s) -
Lamech Tanuj M.,
Nithya Govindasamy,
Aiswarya Dhanapalan,
Sastry Bhagavatula V. R. H.,
Arumugam Venkatesh,
Gopalakrishnan Natarajan
Publication year - 2021
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12984
Subject(s) - medicine , cloxacillin , hemodialysis , pulmonary embolism , bacteremia , dialysis , staphylococcus aureus , surgery , fistula , arteriovenous fistula , antibiotics , biology , bacteria , microbiology and biotechnology , genetics
A 24‐year‐old man on maintenance hemodialysis presented with bilateral cavitary consolidations and methicillin‐sensitive Staphylococcus aureus (MSSA) bacteremia following ulceration of the skin over his arteriovenous (AV) fistula cannulation site. A diagnosis of septic pulmonary embolism was made, which presumptively originated from a localized MSSA infection of his AV access. He had an excellent response to a 28‐day course of cloxacillin, with the resolution of the pulmonary lesions.