Olea T, Hevia C, Bajo M A, del Peso G, Selgas R
Servicio de Nefrología, Hospital Universitario La Paz, Madrid.
Nefrologia. 2006;26(1):136-8.
Peritonitis is a well-known complication of peritoneal dialysis (PD) treatment. Repetitive episodes may induce an irreversible damage of the peritoneal membrane and are a frequent cause of PD drop-out. The great majority of the episodes are due to Staphylococci, Streptococci or gram- negative organisms. Unusual organisms have been reported, specially in immunosuppressed hosts. Few cases of Pasteurella Multocida (PM) have been described in PD patients. To our knowledge, we describe the first case preceding a Candida Albicans (CA) peritonitis. A review of the literature of PM peritonitis and the relation between these two microorganisms is discussed.
腹膜炎是腹膜透析(PD)治疗中一种众所周知的并发症。反复发生的腹膜炎可能导致腹膜不可逆损伤,并且是PD治疗中断的常见原因。绝大多数腹膜炎发作是由葡萄球菌、链球菌或革兰氏阴性菌引起的。已有报道称存在不常见的病原体,特别是在免疫抑制宿主中。PD患者中很少有多杀巴斯德菌(PM)感染的病例报道。据我们所知,我们描述了首例先于白色念珠菌(CA)腹膜炎发生的PM感染病例。本文还讨论了PM腹膜炎的文献综述以及这两种微生物之间的关系。