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  • Title: Central venous catheter infection-induced Henoch-Schönlein purpura in a patient on hemodialysis.
    Author: Gao JJ, Wei JM, Gao YH, Li S, Na Y.
    Journal: Ren Fail; 2014 Aug; 36(7):1145-7. PubMed ID: 24845224.
    Abstract:
    A 69-year-old man, who had been dialyzed using a permanent central venous catheter for 2 years, presented with Henoch-Schönlein purpura and positive perinuclear anti-neutrophil cytoplasmic antibody (p-ANCA). He was diagnosed with catheter-related infection by Staphylococcus aureus. After administration of antibiotic and steroid therapy, purpura disappeared and p-ANCA gradually became negative. This case supports the conclusion that infection can be pathogenesis of the vasculitis, including ANCA-positive HSP. Additionally, impregnation of catheters with antibiotics can be an effective treatment for catheter infections.
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