Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2011  |  Volume : 22  |  Issue : 4  |  Page : 761--763

Hemodialysis catheter related rhodococcus bacteremia in immunocompetent host


Pranav Dalal1, Twinkal Dalal2, Gaurav Shah1 
1 Department of Internal Medicine, Mount Sinai Hospital (Chicago Medical School), Chicago, Illinois, USA
2 John H. Stroger Jr. Hospital of Cook County, Chicago, Illinois, USA

Correspondence Address:
Pranav Dalal
Assistant Professor, Chicago Medical School, Chicago, Illinois
USA

Rhodococcus equi (R. equi) is an uncommon cause of infection in immunocompetent individuals. We describe a case of R. equi bacteremia associated with hemodialysis (HD) catheter in an immunocompetent patient. A 38-year-old female with end-stage renal disease (ESRD) of uncertain etiology, on HD for the past 15 months who was previously healthy otherwise, was admitted with the complaints of intermittent fever, mild nausea and occasional vomiting for two weeks. Last HD was performed four days earlier through a tunneled right internal jugular permacath. Clinically the patient was afebrile and in no acute distress. She was hemodynamically stable with no peripheral stigmata of an endovascular infection. Physical examination was essentially normal. Initially, the patient was treated with intravenous vancomycin with each HD, retaining the catheter. However, due to persistently positive blood cultures, HD catheter had to be removed. The patient became afebrile and nausea and vomiting resolved. She improved clinically, and repeated surveillance blood cultures done after the removal of catheter were reported negative. Subsequently, a new HD catheter was inserted for her. Although R. equi is an uncommon cause of infection in immunocompetent individuals, it does occur with considerable mortality and morbidity, and a high index of clinical suspicion is required to recognize this infection in immunocompetent individuals.


How to cite this article:
Dalal P, Dalal T, Shah G. Hemodialysis catheter related rhodococcus bacteremia in immunocompetent host.Saudi J Kidney Dis Transpl 2011;22:761-763


How to cite this URL:
Dalal P, Dalal T, Shah G. Hemodialysis catheter related rhodococcus bacteremia in immunocompetent host. Saudi J Kidney Dis Transpl [serial online] 2011 [cited 2020 Jul 2 ];22:761-763
Available from: http://www.sjkdt.org/article.asp?issn=1319-2442;year=2011;volume=22;issue=4;spage=761;epage=763;aulast=Dalal;type=0