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Case Reports in Nephrology
Volume 2014, Article ID 502019, 3 pages
Case Report

Subphrenic Abscess as a Complication of Hemodialysis Catheter-Related Infection

Department of Nephrology, Hospital Ramón y Cajal, 28034 Madrid, Spain

Received 8 May 2014; Accepted 30 June 2014; Published 10 July 2014

Academic Editor: Yoshihide Fujigaki

Copyright © 2014 Fernando Caravaca 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.


We describe an unusual case of subphrenic abscess complicating a central venous catheter infection caused by Pseudomonas aeruginosa in a 59-year-old woman undergoing hemodialysis. The diagnosis was made through computed tomography, and Pseudomonas aeruginosa was isolated from the purulent drainage of the subphrenic abscess, the catheter tip and exit site, and the blood culture samples. A transesophageal echocardiography showed a large tubular thrombus in superior vena cava, extending to the right atrium, but no evidence of endocarditis or other metastatic infectious foci. Catheter removal, percutaneous abscess drainage, anticoagulation, and antibiotics resulted in a favourable outcome.