Case study highlights a patient with a catheter related intracardiac fistula

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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” Koratala et al (2017).

Abstract:

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.

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Reference:

Koratala, A., Aboud, H., Gibson, R. and Hamilton, K.K. (2017) Intracardiac fistula: an unusual complication of catheter-related blood stream infection. JRSM Open. September 5th. eCollection.

doi: 10.1177/2054270417728230.

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