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Case report: The first case of Achromobacter xylosoxidans-related tunnel infection in a patient receiving peritoneal dialysis.
- Source :
-
Medicine [Medicine (Baltimore)] 2017 Apr; Vol. 96 (16), pp. e6654. - Publication Year :
- 2017
-
Abstract
- Rationale: Achromobacter xylosoxidans infection is mostly reported in immunocompromised patients. Until now, it is still rarely reported in patients undergoing peritoneal dialysis.<br />Patient Concerns: This is the 1st case of A xylosoxidans infection due to tunnel infection of a Tenckhoff catheter.<br />Diagnosis: The diagnosis was confirmed by the report of culture.<br />Interventions: Risk factors for this infection in peritoneal dialysis include uremia with an immunocompromised state, contamination due to inexperienced skills, and aqueous environment of the dialysate.<br />Outcome: We believe that finding the source of A xylosoxidans contamination is the most important aspect of the overall treatment of the infection.<br />Lessons: Environmental investigation of suspected source contamination is warranted in those with A xylosoxidans infection. Once the diagnosis is made, removal of the Tenckhoff catheter should not be delayed.
Details
- Language :
- English
- ISSN :
- 1536-5964
- Volume :
- 96
- Issue :
- 16
- Database :
- MEDLINE
- Journal :
- Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 28422870
- Full Text :
- https://doi.org/10.1097/MD.0000000000006654