Background: Temporary or permanent central venous catheter (CVC) insertion has been performed frequently for hemodialysis treatment. The loss of a broken CVC into the circulation is a rare and preventable complication. Here, we report a peculiarly case of a missed temporary CVC after using Moxifloxacin.
Case presentation:We report a 53-year-old uremia woman who was treated with moxifloxacin, fractured her CVC which migrated from right internal jugular vein to right atrium. After the discontinuation of moxifloxacin, her abnormal behavior disappeared.Conclusions: CVC loss was rarely reported in hemodialysis patients, especially after using moxifloxacin. We report this case to emphasize the side effect of a commonly used drug and make the clinicians to be cautious when they use moxifloxacin in uremia patients with CVC who have a risk to be more susceptible to have drug adverse effect. In systemically reviewing the literature, this is the first case report of moxifloxacin inducing abnormal behavior in a patient on hemodialysis to fracture CVC.