Strangely enough, I was thinking that the patient could have a viral meningitis, a scenario I visited in my teens (symptoms identical). I agree with Nancy, that with all your negative cultures you could be looking at a contaminant.
Dianne Sim RN CEO & President IV Assist, Inc., 2675 Appian Way Pinole, CA 94564 Phone: (510) 222-8403 Fax: (510) 222-8277 Email: [EMAIL PROTECTED] Confidentiality Notice: This e-mail and any attachments are intended only for the use of those to whom it is addressed and may contain information that is confidential and prohibited from further disclosure under law. If you have received this e-mail in error, its review, use, retention and/or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachments.[v1.0] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nancy Moureau Sent: Thursday, August 10, 2006 12:09 PM To: [EMAIL PROTECTED]; Rakay Dance Subject: Re: Central Line Infection Sorry Rakay, Visible Bacteria in a CBC? I assume the white count was up. If all blood cultures are negative both peripheral and line draws then you may be talking about a contaminant. TPN is notorious for growing bacteria and certainly is a risk factor for infection. The patient may have a virus, esp with the glandular swelling. Nancy Moureau, BSN, CRNI PICC Excellence, Inc [EMAIL PROTECTED] 1-888-714-1951 ---------- Original Message ---------------------------------- From: "Rakay Dance" <[EMAIL PROTECTED]> Date: Thu, 10 Aug 2006 12:41:33 -0600 >Hi, I am looking for some expert opinions. We had a PICC line in place >8 weeks. Pt is receiving TPN for extreme hyperemesis gravadarium. On >weekly labs Monday the lab noted visiable bacteria in the CBC. On >Tuesday PICC was pulled and repeat CBC and Blood cultures PIV were >drawn. No bacteria noted on this sample. Blood Cultures remain >negative after 48 hours. Is this likely a line infection or something >else. The tip was not cultured. Pt is now hospitalized and continues >to spike fevers and is on IVAB. Infection remains unknown. Pt's WBC >was 2.7 when admitted to hospital. Pt has very large swollen glands in >neck, headache and stiff neck. No spinal has been done. I would love >your opinion's-line infected or no?? RaKay > > >
