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KMID : 0359920100290060824
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Korean Journal of Nephrology
2010 Volume.29 No. 6 p.824 ~ p.828
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Multiple Metastatic Infection Related to Arteriovenous Graft Infection in an ESRD Patient on Hemodialysis
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Yun Seon-Ung
Kim So-Young
Choi Hye-Jin
Park Hyun-Sik
Bae Byeong-Joo
Ki Hyun-Kyun
Jo Young-Il
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Abstract
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Arteriovenous vascular access infection associated with S. aureus bacteremia may cause metastatic complications, which relate to a poor outcome especially if proper diagnosis and treatment are delayed. We report a case of a 61-year-old male patient on maintenance hemodialysis who developed multiple metastatic infections associated with arteriovenous graft infection caused by methicillin-resistant Staphylococcus aureus (MRSA). At 7th hospital day, multiple metastatic infections, including osteomyelitis of clavicle, vertebral osteomyelitis, and tendinitis of the 5th finger proximal interphalangeal joint, were diagnosed by CT of chest, ultrasonography of hands, and whole body bone scan. Infected arteriovenous graft was removed and antibiotics was administrated for 18 weeks. Thereafter, MRSA bacteremia and clinical symptoms and signs related to metastatic infections were improved.
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KEYWORD
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Hemodialysis, Graft, Methicillin-Resistant staphylococcus aureus, Bacteremia
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