Direct causal relationship between chronic vascular catheter infections and MPGN

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#IVTEAM #Intravenous literature: Sy, J., Nast, C.C., Pham, P.T. and Pham, P.C. (2014) Membranoproliferative glomerulonephritis in patients with chronic venous catheters: a case report and literature review. Case Reports in Nephrology. January 30th. [epub ahead of print].

Abstract:

Chronic indwelling catheters have been reported to be associated with membranoproliferative glomerulonephritis (MPGN) via the activation of the classical complement pathway in association with bacterial infections such as coagulase negative staphylococcus. We herein provide supporting evidence for the direct causal relationship between chronic catheter infections and MPGN via a case of recurrent MPGN associated with recurrent catheter infections used for total parenteral nutrition (TPN) in a man with short gut syndrome. We also present a literature review of similar cases and identify common clinical manifestations that may serve to aid clinicians in the early identification of MPGN associated with infected central venous catheterization or vice versa. The importance of routine monitoring of kidney function and urinalysis among patients with chronic central venous catheterization is highlighted as kidney injury may herald or coincide with overtly infected chronic indwelling central venous catheters.

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