{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:11:58Z","timestamp":1787019118937,"version":"build-2736575974"},"reference-count":11,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,10,29]],"date-time":"2023-10-29T00:00:00Z","timestamp":1698537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Metastatic infections can complicate catheter-related blood stream infections (CRBSI) in dialysis dependent patients. However, an infected\/septic aneurysm involving the aorta or its branches as a direct complication of CRBSI without an underlying infective endocarditis is not reported so far in the literature. We report a 43-year female, who presented with CRBSI 2\u2009weeks following a tunneled dialysis catheter (TDC) insertion. Due to the lack of defervescence after 72\u2009h of antibiotics given as per the culture sensitivity reports, the TDC was removed. Blood cultures grew Pseudomonas aeruginosa. After a catheter free interval of 4\u2009days, a TDC was reinserted, an antibiotic course was completed, and she was discharged in stable condition. Five days later, she presented with acute abdominal pain and fever. A tender, firm, and pulsatile mass was noted in the hypogastrium with a bruit. Contrast-enhanced CT revealed a pseudoaneurysm of the aorta, and left common iliac artery at the site of origin. She was started on IV antibiotics and planned for an endovascular prosthesis but had a sudden collapse during her hospital stay due to a ruptured aneurysm. CRBSI due to certain pathogens such as Pseudomonas might require prolonged and dual antibiotic therapy to prevent fulminant complications.<\/jats:p>","DOI":"10.1177\/11297298231192239","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T00:58:16Z","timestamp":1698627496000},"page":"1695-1699","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Fulminant ruptured septic aneurysm complicating the catheter related blood stream infection in a patient on maintenance hemodialysis: A case report"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7446-281X","authenticated-orcid":false,"given":"Vamsidhar","family":"Veeranki","sequence":"first","affiliation":[{"name":"Department of Nephrology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narayan","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yashendu","family":"Sarda","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhraneel","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manas Ranjan","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Nephrology and 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India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,29]]},"reference":[{"key":"bibr1-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12117"},{"key":"bibr2-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2018.01.002"},{"key":"bibr3-11297298231192239","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.11411116"},{"key":"bibr4-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1159\/000501357"},{"key":"bibr5-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.1.162"},{"key":"bibr6-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V7102264"},{"key":"bibr7-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000296"},{"key":"bibr8-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.49.4.1306-1311.2005"},{"key":"bibr9-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"bibr10-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1086\/599376"},{"key":"bibr11-11297298231192239","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dky063"}],"container-title":["The 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