Document Detail


Glomerulonephritis associated with chronic infection from long-term central venous catheterization.
MedLine Citation:
PMID:  16362390     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There have been few reports on immune complex-mediated glomerulonephritis associated with chronic infection from long-term central venous catheterization in adulthood. We report here on a 13-year-old boy with nephritis who exhibited glomerulonephritis that had been induced by the long-term use of central venous catheters, and its resolution after extraction of the central venous catheter. A diagnosis of glomerulonephritis associated with chronic infection caused by long-term central venous catheterization was made, based on the absence of clinical findings after removal of the catheter, hypocomplementemia, pathology findings resembling membranoproliferative glomerulonephritis, and detection of Staphylococcus epidermidis from culture of the removed catheter culture. For clinicians using long-term central venous access for parenteral feeding, rapid catheter exchange is necessary for patients with fever of unknown origin.
Authors:
Shinichiro Ohara; Yukihiko Kawasaki; Kei Takano; Masato Isome; Ruriko Nozawa; Hitoshi Suzuki; Mitsuaki Hosoya
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-12-16
Journal Detail:
Title:  Pediatric nephrology (Berlin, Germany)     Volume:  21     ISSN:  0931-041X     ISO Abbreviation:  Pediatr. Nephrol.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-21     Completed Date:  2006-08-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8708728     Medline TA:  Pediatr Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  427-9     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima City, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Catheterization, Central Venous / adverse effects*
Catheters, Indwelling / adverse effects*,  microbiology
Chronic Disease
Glomerulonephritis / etiology,  microbiology*
Humans
Male
Parenteral Nutrition, Home
Staphylococcal Infections / etiology*
Staphylococcus epidermidis*

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