A 67-year-old woman, born in Bulgaria, with hypertension, diabetes, obesity, dyslipidemia and chronic kidney disease (CKD), possibly secondary to diabetes and/or nephroangiopathy in HD since January 2008.
Low socioeconomic status, living with animals and poor personal hygiene.
A humerocefic arteriovenous fistula (AVF) was performed left, with torpid evolution, performing HD by transient CVC (multiple removed and new canalizations for catheter entry door infections).
She was admitted with fever and chills after dialysis, compatible with bacteremia, with positive blood cultures for Staphylococcus (St.) aureus.
Acquired infection in PEC, so the catheter is removed, cultured, AX growing, along with St. aureus and Enterococcus faecalis.
With combined treatment for the three germs, the infection disappears clinically and bacteriologically.
