Hemodialysis catheter-related septic thrombophlebitisAbstract:
Abstract:
Background: Central venous catheter is indispensable to urgent start and unplanned hemodialysis. Central venous catheters are prone to infectious complications like catheter related blood stream infection (CRBSI) and malfunction. Catheter-related septic thrombophlebitis is a serious, yet underrecognized complication of CRBSI. It often presents as persistent or recurrent bacteremia and septic pulmonary embolism.
Case report: In this case report, we describe the case of an elderly woman on hemodialysis who presented with recurrent CRBSI and septic pulmonary embolism due to a right internal jugular vein non-cuffed central venous catheter-related septic thrombophlebitis. She required surgical thrombectomy since standard source control strategies like catheter removal and antibiotic therapy failed.
Conclusion: We describe the surgical approach used in this patient and highlight the importance of prompt recognition and timely surgical intervention in catheter-related septic thrombophlebitis.
Reference:
Sathiavageesan S, Chandrasekaran A. Non-Cuffed Hemodialysis Catheter-Related Septic Thrombophlebitis of the Internal Jugular Vein Presenting With Recurrent Bacteremia and Septic Pulmonary Embolism. Hemodial Int. 2026 Mar 12. doi: 10.1111/hdi.70067. Epub ahead of print. PMID: 41814914.