Intracardiac fistula: an unusual complication of catheter-related blood stream infection. (September 2017)

• Record Type: Journal Article
• Authors: Koratala, Abhilash; Aboud, Hussain; Gibson, Robert; Hamilton, Karen K
• Is Part Of: JRSM open. Volume 8:Number 9(2017:Sep.)
• Publication Date: 2017-09
• Subjects: haemodialysis -- intracardiac fistula -- catheter-related blood stream infection; Medicine -- Periodicals; Medicine -- Great Britain -- Periodicals; 610.5
• DOI: 10.1177/2054270417728230
• Languages: English
• ISSNs: 2054-2704

Abstract

Lesson: In end stage renal disease patients on dialysis, the use of catheter as a vascular access is associated with a significant risk of sepsis compared to an arterio-venous fistula. Our case emphasizes the importance of having high index of suspicion for unusual complications in patients presenting with possible catheter-related blood stream infection and early use of complementary tools such as trans-oesophageal echocardiography whenever applicable.