Citation
Abstract
Catheter-related bloodstream infection (CRBSI) is one of the common healthcare-acquired infections imposing a high burden of morbidity and mortality on the patients. Non-tuberculous mycobacterium is a rare aetiology for CRBSI and poses challenges in laboratory diagnosis and clinical management. This is a case of a woman in her early 60s with underlying end-stage renal failure, diabetes mellitus and hypertension presented with a 2-week history of high-grade fever postregular haemodialysis, vomiting, lethargy and altered mental status. Blood cultures from a permanent catheter and peripheral taken concurrently yielded Mycobacterium senegalense, identified by matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry, which established the diagnosis of CRBSI atypically presented with concurrent acute intracranial bleeding and cerebrovascular infarction at initial presentation. She was started on a combination of oral azithromycin, oral amikacin and intravenous imipenem, and the permanent catheter was removed. Despite the treatments instituted, she developed septicaemia, acute myocardial infarction and macrophage activation-like syndrome, causing the patient’s death.
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Official URL or Download Paper: https://casereports.bmj.com/content/17/4/e259761
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Additional Metadata
Item Type: | Article |
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Divisions: | Faculty of Medicine and Health Science Institute of Bioscience Hospital Pengajar UPM |
Publisher: | BMJ Publishing Group |
Keywords: | Chronic renal failure; Nosocomial infections |
Depositing User: | Ms. Che Wa Zakaria |
Date Deposited: | 14 May 2025 06:13 |
Last Modified: | 14 May 2025 06:13 |
URI: | http://psasir.upm.edu.my/id/eprint/117324 |
Statistic Details: | View Download Statistic |
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