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复发性透析导管相关菌血症的罕见病因

An Uncommon Cause of Recurrent Dialysis Catheter-Related Bacteremia.

作者信息

Chee Yong Ng, Wenxiang Yeon, Siang Chew Chai, Weien Chow, Roy Debajyoti

机构信息

Renal Medicine, Changi General Hospital, Singapore, SGP.

Cardiology, Changi General Hospital, Singapore, SGP.

出版信息

Cureus. 2021 Nov 2;13(11):e19220. doi: 10.7759/cureus.19220. eCollection 2021 Nov.

DOI:10.7759/cureus.19220
PMID:34877201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8642127/
Abstract

A 54-year-old man on maintenance hemodialysis with recurrent catheter-related bloodstream infections due to was admitted. Multiple prior transthoracic echocardiograms failed to reveal any vegetation. Subsequently on transesophageal echocardiography a mass consistent with fibrin sheath vegetations was identified and a follow-up diagnostic computed tomography (CT) venogram confirmed the presence of a fibrin sheath with vegetations.

摘要

一名54岁维持性血液透析患者因反复发生导管相关血流感染入院。此前多次经胸超声心动图检查均未发现任何赘生物。随后经食管超声心动图检查发现一个与纤维蛋白鞘赘生物相符的肿块，后续诊断性计算机断层扫描（CT）静脉造影证实存在伴有赘生物的纤维蛋白鞘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc82/8642127/c013ce8f3668/cureus-0013-00000019220-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc82/8642127/5d0d4ee055a8/cureus-0013-00000019220-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc82/8642127/c013ce8f3668/cureus-0013-00000019220-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc82/8642127/5d0d4ee055a8/cureus-0013-00000019220-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc82/8642127/c013ce8f3668/cureus-0013-00000019220-i02.jpg

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本文引用的文献

1
KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update.KDIGO 临床实践指南：血管通路 2019 更新版。
Am J Kidney Dis. 2020 Apr;75(4 Suppl 2):S1-S164. doi: 10.1053/j.ajkd.2019.12.001. Epub 2020 Mar 12.
2
A calcified central venous fibrin sheath mimicking a fractured catheter.钙化的中心静脉纤维蛋白鞘，类似断裂的导管。
Semin Dial. 2020 Jul;33(4):343-344. doi: 10.1111/sdi.12887. Epub 2020 Jun 12.
3
Evaluation of unplanned dialysis as a predictor of mortality in elderly dialysis patients: a retrospective data analysis.
评估非计划性透析作为老年透析患者死亡率预测指标：一项回顾性数据分析
BMC Nephrol. 2017 Dec 19;18(1):364. doi: 10.1186/s12882-017-0778-0.
4
Fibrin sheath-associated endovascular infection of the heart: the Trojan horse of indwelling central venous catheters.纤维蛋白鞘相关的心脏血管内感染：留置中心静脉导管的“特洛伊木马”。
BMJ Case Rep. 2017 Apr 17;2017:bcr-2016-219060. doi: 10.1136/bcr-2016-219060.
5
Fibrin sheath endocarditis: a new entity via echocardiography.纤维蛋白鞘心内膜炎：一种通过超声心动图发现的新病症。
J Vasc Access. 2016 Jan 28;17(1):e1-2. doi: 10.5301/jva.5000480.
6
Infective Endovascular Fibrin Sheath Vegetations—A New Cause of Bacteremia Detected by Transesophageal Echocardiogram.经食管超声心动图检出感染性血管纤维鞘菌血症——一种新的菌血症病因。
Am J Med. 2015 Sep;128(9):1029-38. doi: 10.1016/j.amjmed.2015.03.019. Epub 2015 Apr 10.
7
Retained fibrin sheaths: chest computed tomography findings and clinical associations.纤维蛋白鞘残留：胸部计算机断层扫描结果及临床关联
J Thorac Imaging. 2014 Mar;29(2):118-24. doi: 10.1097/RTI.0b013e318299ff22.