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Case Reports in Nephrology
Volume 2013, Article ID 735194, 5 pages
http://dx.doi.org/10.1155/2013/735194
Case Report

A Rare Case of Aeromonas Hydrophila Catheter Related Sepsis in a Patient with Chronic Kidney Disease Receiving Steroids and Dialysis: A Case Report and Review of Aeromonas Infections in Chronic Kidney Disease Patients

1Section of Nephrology Department of Medicine, Aga Khan University Hospital, Karachi 74800, Pakistan
2Department of Nephrology, Kuala Belait Hospital, Kuala Belait KA1131, Brunei Darussalam
3Department of Nephrology, RIPAS Hospital, Bander Seri Begwan BA1710, Brunei Darussalam

Received 29 May 2013; Accepted 9 July 2013

Academic Editors: Z. Korzets and P. S. Passadakis

Copyright © 2013 Muhammad Abdul Mabood Khalil et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aeromonas hydrophila (AH) is an aquatic bacterium. We present a case of fifty-five-year-old gentleman with chronic kidney disease (CKD) due to crescentic IgA nephropathy who presented to us with fever. He was recently pulsed with methyl prednisolone followed by oral prednisolone and discharged on maintenance dialysis through a double lumen dialysis catheter. Blood culture from peripheral vein and double lumen dialysis catheter grew AH. We speculate low immunity due to steroids and uremia along with touch contamination of dialysis catheter by the patient or dialysis nurse could have led to this rare infection. Dialysis catheter related infection by AH is rare. We present our case here and take the opportunity to give a brief review of AH infections in CKD patients.