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조영일 ( Young Il Jo ),윤선웅 ( Seon Ung Yun ),최혜진 ( Hae Jin Choi ),김소영 ( So Young Kim ),최혜진 ( Hye Jin Choi ),박현식 ( Hyun Sik Park ),배병주 ( Byeong Ju Bae ),기현균 ( Hyun Kyun Ki ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.6
Purpose: Arteriovenous vascular access infection associated with S. aureus bacteremia may cause metastatic complications, which relate to a poor outcome especially if proper diagnosis and treatment are delayed. We report a case of a 61-year-old male patient on maintenance hemodialysis who developed multiple metastatic infections associated with arteriovenous graft infection caused by methicillin-resistant Staphylococcus aureus (MRSA). At 7th hospital day, multiple metastatic infections, including osteomyelitis of clavicle, vertebral osteomyelitis, and tendinitis of the 5th finger proximal interphalangeal joint, were diagnosed by CT of chest, ultrasonography of hands, and whole body bone scan. Infected arteriovenous graft was removed and antibiotics was administrated for 18 weeks. Thereafter, MRSA bacteremia and clinical symptoms and signs related to metastatic infections were improved.