RESUMO
A 3-month-old male infant was admitted to our unit due to acute decompensation of chronic kidney disease of unknown etiology. Further investigation led to the diagnosis of primary hyperoxaluria type 1. As the patient did not recover, hemodialysis was initiated with a non-tunneled femoral catheter. A tunneled Hickman catheter was placed in the internal jugular vein. The patient experienced moderate intradialytic exit-site bleeding and catheter malfunction, which initially responded to pressure and postural changes. During the third session, the patient suffered cardiopulmonary arrest. After stabilization, a chest hematoma was identified. Fluoroscopy revealed a catheter breakage. Despite initial stabilization, the patient developed septic shock due to Pseudomonas aeruginosa and died several days later. Hemodialysis is sometimes necessary in children under 24 months with chronic kidney disease. Vascular access is a major challenge in these patients due to lack of appropriate catheter sizes and high complication rates. Hemodialysis catheter fracture is an uncommon complication, and diagnosis can be difficult when the breakage involves the subcutaneous segment. Persistent intradialytic bleeding and mechanical malfunction should raise suspicion of this complication and should elicit catheter revision under fluoroscopy. Without prompt diagnosis, catheter breakage may have fatal consequences, as in our case.
Assuntos
Cateterismo Venoso Central , Cateteres Venosos Centrais , Insuficiência Renal Crônica , Criança , Lactente , Humanos , Masculino , Cateteres de Demora , Diálise Renal , Hematoma , Veias Jugulares , Cateterismo Venoso Central/efeitos adversosRESUMO
No disponible
Assuntos
Humanos , Pré-Escolar , Ciências da Saúde , Hiperpotassemia , Pseudo-Hipoaldosteronismo , Técnicas e Procedimentos Diagnósticos , Estudos de Casos e ControlesRESUMO
No disponible
Assuntos
Humanos , Feminino , Adolescente , Displasia Fibromuscular , Hipertensão , AngioplastiaRESUMO
Due to an unfortunate error during the processing of this article, the HTML version of this article contained a mistake.
RESUMO
No disponible
Assuntos
Humanos , Feminino , Criança , Arterite de Takayasu/tratamento farmacológico , Anticorpos Monoclonais/administração & dosagem , Insuficiência Cardíaca/complicações , Radiografia Torácica , Metilprednisolona/administração & dosagem , Prednisona/administração & dosagem , Ciclofosfamida/administração & dosagem , Angiografia , Artéria Renal/efeitos dos fármacos , Artéria Renal/diagnóstico por imagem , Fatores de Risco , Corticosteroides/administração & dosagemRESUMO
No disponible
