TY  - CHAP
M1  - Book, Section
TI  - Catheter-Related Bloodstream Infections
A1  - Kim, Rose
A1  - Meyer, Daniel K.
A1  - Reboli, Annette C.
A2  - Lee, Kiwon
Y1  - 2012
N1  - 
T2  - The NeuroICU Book
AB  - A  69-year-old  man  with  a  history  of  diabetes  mellitus,  hypertension,  coronary  artery  disease,  and  ventricular  arrhythmias  was  admitted  after  a  witnessed  collapse  at  home.  The  patient  underwent  cardiac  resuscitation  and  intubation  by  emergency  medical  services  (EMS);  upon  admission  he  was  found  to  have  an  inferior  wall  myocardial  infarction.  There  was  also  some  concern  that  the  patient  had  seizure  activity  noted  upon  arrival  in  the  emergency  department.  He  underwent  cardiac  catheterization  and  was  found  to  have  diffuse  three-vessel  disease,  with  a  90%  occlusion  in  the  postero-lateral  (PL)  segment  of  the  right  coronary  artery  (RCA).  He  underwent  successful  coronary  angioplasty  of  the  RCA  lesion  and  was  transferred  to  the  intensive  care  unit  (ICU)  for  further  monitoring.  A  right  internal  jugular  central  venous  catheter  (CVC)  and  right  radial  arterial  line  were  placed  on  hospital  day  2.  On  hospital  day  5  the  patient  was  noted  to  have  fever,  with  his  temperature  measured  as  high  as  39.3°C  (102.7°F),  and  tachycardia.  He  remained  normotensive.  Cultures  were  obtained,  including  two  sets  of  blood  cultures  drawn  within  10  minutes  of  each  other.  One  set  of  blood  cultures  was  drawn  peripherally,  and  one  set  was  drawn  through  the  CVC.  Broad-spectrum  antibiotics,  including  vancomycin  and  cefepime,  were  started  empirically.  Within  6  hours,  the  microbiology  lab  reported  positive  growth  from  one  of  the  two  bottles  that  was  drawn  via  the  CVC.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - neurology.mhmedical.com/content.aspx?aid=1101645886
ER  -