A puzzling cause of persistent Pseudomonas aeruginosa septicaemia in a patient on maintenance haemodialysis.

Vascular access is the life-line of chronic haemodialysis patients. Its complications play a major role in morbidity and mortality [1]. Vascular access infection remains the leading cause for access failure when cuffed silicone catheters are used for long-term access and is the second most common cause of graft failure when polytetrafluoroethylene (PTFE) grafts are used [2]. Most reports deal with dual-lumen tunneled cuffed catheter related bacteraemia. Arteriovenous (A-V) graft infection with Pseudomonas septicaemia, as reported here, has been rarely discussed.