The patient with a clotted PTFE graft developing fever.

Open Access

1 September 1998

journal article
case report
Published by Oxford University Press (OUP) in Nephrology Dialysis Transplantation

Vol. 13 (9) , 2392-2393
https://doi.org/10.1093/ndt/13.9.2392

Abstract

Haemodialysis access graft infection is easily recognizable when local symptoms (warmth, swelling, pain, or drainage) predominate, and endocarditis is a well established complication of infected grafts. We report a case of bacterial endocarditis complicating silent infection in clotted haemodialysis access graft. It is suggested that, clotted non-functioning grafts may be the harbingers of silent infection, and should be suspected as the source of infection in every haemodialysis patient that presents with fever, even in the absence of clinical signs of graft site infection.

Keywords

PHYSICAL EXAMINATION DID NOT
INFECTION PATIENT HAD A CLOTTED GRAFT IN THE LEFT ARM
HAEMODIALYSIS ACCESS GRAFT
WHICH HAD BEEN NON-FUNCTIONAL FOR 2D YEARS PRIOR. HAEMODIALYSIS WAS PERFORMED THROUGH A PATENT GORTEX GRAFT IN THE OPPOSITE ARM. OF NOTE

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