Schröder C H, de Jong M C, Monnens L A
Department of Pediatrics, St. Radboud University Hospital, Nijmegen, The Netherlands.
Am J Kidney Dis. 1991 Feb;17(2):231-2. doi: 10.1016/s0272-6386(12)81134-6.
Peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients is only rarely caused by beta-hemolytical streptococci species. We describe two young children, aged 15 months and 5 years, respectively, who presented an unusually severe course of peritonitis due to group B beta-hemolytical streptococci. This course of the disease showed a strong similarity with neonatal streptococcal septicemia. In neonates, IgG2 deficiency is thought to be partly responsible for the severity of this condition. This may also be true for young children treated with CAPD, since IgG2 deficiency has been established for children.
持续性非卧床腹膜透析（CAPD）患者的腹膜炎很少由β溶血性链球菌引起。我们描述了两名分别为15个月和5岁的幼儿，他们因B组β溶血性链球菌而出现了异常严重的腹膜炎病程。该疾病病程与新生儿链球菌败血症极为相似。在新生儿中，IgG2缺乏被认为是导致病情严重的部分原因。对于接受CAPD治疗的幼儿来说可能也是如此，因为儿童中已证实存在IgG2缺乏。
