Alternative Anticoagulation Therapy in Tunnel Dialysis Catheter Septic Thrombus.

Patients may have tunnel dialysis catheters utilized for chronic maintenance hemodialysis. Patients can develop infected thrombi with the catheter which can further result in the development of septicemia. This case illustrates a patient who was sent to the Emergency department due to fever, chills, hypotension and significant mental status changes. He was successfully treated with appropriate intravenous antibiotics utilizing culture results and combined use of activated factor Xa inhibitors (Apixaban) to provide early resolution of infected thrombi bacteremia.