Complicaciones infecciosas en pacientes portadores de catéter venoso central para hemodiálisis: a propósito de un caso

• Autores: Mireia Pujol Saumell, Axenia Babara, Zoila Stany Albines Fiestas, Melisa Guzmán Vasquez, Daniel Joaquín Aladrén Gonzalvo, Paula Juárez Mayor
• Localización: Revista Sanitaria de Investigación, ISSN-e 2660-7085, Vol. 5, Nº. 4, 2024
• Idioma: español
• Enlaces
  • Texto completo
• Resumen
  • español

    Los pacientes con enfermedad renal crónica (ERC) en tratamiento con hemodiálisis (HD) mediante un catéter venoso central (CVC) tunelizado permanente presentan una mayor morbilidad y mortalidad debida en gran parte parte por las infecciones asociadas al CVC. Se describe el caso de un paciente de 75 años con antecedentes de diabetes, aterosclerosis y ERC en tratamiento con HD mediante un CVC que presenta una bacteriemia por Staphylococcus aureus (SA) complicada con aortitis. En este artículo se realiza una revisión de las complicaciones infecciosas asociadas al CVC y de la aortitis infecciosa, entidad poco frecuente pero de elevada mortalidad si no se realiza un adecuado manejo y tratamiento.

  • English

    Patients with chronic kidney disease (CKD) on treatment with hemodialysis (HD) with a permanent tunneled central venous catheter (CVC) present a higher morbidity and mortality due largely to CVC-related infections. We report a case of a 75-years-old patient with a history of diabetes, atherosclerosis and CKD in treatment with HD by a CVC presenting a bacteremia by Staphylococcus aureus complicated with aortitis. This article reviews CVC-related infections and its complications as infectious aortitis, a rare entity but with high mortality if proper management and treatment is not performed.

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