• Medicine · Apr 2017

    Case Reports

    Case report: The first case of Achromobacter xylosoxidans-related tunnel infection in a patient receiving peritoneal dialysis.

    • Jun-Li Tsai and Shang-Feng Tsai.
    • aDepartment of Family Medicine, Cheng Ching General Hospital bDivision of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital cDepartment of Life Science, Tunghai University, Taichung dDepartment of Medicine, Nation Yang Ming University, Taipei, Taiwan.
    • Medicine (Baltimore). 2017 Apr 1; 96 (16): e6654.

    RationaleAchromobacter xylosoxidans infection is mostly reported in immunocompromised patients. Until now, it is still rarely reported in patients undergoing peritoneal dialysis.Patient ConcernsThis is the 1st case of A xylosoxidans infection due to tunnel infection of a Tenckhoff catheter.DiagnosisThe diagnosis was confirmed by the report of culture.InterventionsRisk factors for this infection in peritoneal dialysis include uremia with an immunocompromised state, contamination due to inexperienced skills, and aqueous environment of the dialysate.OutcomeWe believe that finding the source of A xylosoxidans contamination is the most important aspect of the overall treatment of the infection.LessonsEnvironmental 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.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…