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Internal and Emergency Medicine
Published in:

17-07-2024 | IM - CASE RECORD

Should I stay or should I go? A case of central line-associated bloodstream infection (CLABSI) differential diagnosis

Authors: Matteo Maria Masseroli, Maria Calloni, Diocleziano Menicatti, Antonella Foschi, Antonio Gidaro

Published in: Internal and Emergency Medicine | Issue 1/2025

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Excerpt

A 56-year-old woman referred to our hospital because of skin ulceration and bleeding in the left breast area. An abscess was diagnosed and treated with antibiotic therapy and drainage. During hospitalization, a total body CT scan was performed, showing breast cancer with axillary lymph node metastases. The fine-needle aspiration of the lymph node showed an ER:0, PgR:0, Ki-67:55%, c-erbB-2:0 profile. The patient was dismissed, and a carboplatin–paclitaxel therapy once a week was started in a day hospital regimen. To perform therapy, a peripherally inserted central catheter (PICC) was positioned with maximal barrier precautions, following hospital protocol; trained nurses managed PICC during infusions and blood sampling. Home care nurses performed the breast lesion’s dressings on alternate days, following the scheme defined by a wound care expert. Six chemotherapy cycles were carried out without complications. …
Literature
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Chaves F et al (2018) Diagnosis and treatment of catheter-related bloodstream infection: clinical guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology and (SEIMC) and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC). Med Intensive (Engl Ed) 42(1):5–36. https://​doi.​org/​10.​1016/​j.​medin.​2017.​09.​012CrossRef
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Pittiruti M, Scopettuolo G (2021) The GAVeCeLT manual of Picc and Midline: Indications, insertion, management. Edra, Milano
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Baang JH, Inagaki K, Nagel J, Ramani K, Stillwell TL, Mack M, Wesorick D, Mack M, Wesorick D, Proudlock A (2023) Inpatient diagnosis and treatment of catheter-related bloodstream infection [Internet]. Michigan Medicine University of Michigan, Ann Arbor
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Metadata
Title
Should I stay or should I go? A case of central line-associated bloodstream infection (CLABSI) differential diagnosis
Authors
Matteo Maria Masseroli
Maria Calloni
Diocleziano Menicatti
Antonella Foschi
Antonio Gidaro
Publication date
17-07-2024
Publisher
Springer International Publishing
Published in
Internal and Emergency Medicine / Issue 1/2025
Print ISSN: 1828-0447
Electronic ISSN: 1970-9366
DOI
https://doi.org/10.1007/s11739-024-03707-3

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