Sahin I, Barut H S
Gaziosmanpasa University, School of Medicine, Training Hospital, Tokat, Turkey.
Clin Nephrol. 2010 Mar;73(3):241-3. doi: 10.5414/cnp73241.
Peritonitis is a major cause of morbidity in continuous ambulatory peritoneal dialysis (CAPD). Aeromonas hydrophila is a rare cause of peritonitis in patients on CAPD. We herewith report a 44-year-old female patient on CAPD with Aeromonas hydrophila peritonitis. Peritoneal fluid grew Aeromonas hydrophila. The patient reported that she had accidentally dropped her peritoneal dialysis catheter into the toilet. Susceptibility testing revealed that it is susceptible to ceftazidime, but resistant to ciprofloxacin. The patient was treated successfully with intravenous ceftazidime for 2 days followed by intraperitoneal ceftazidime for 12 days. She was discharged with complete recovery after 2 weeks of antibiotic treatment.
腹膜炎是持续性非卧床腹膜透析（CAPD）患者发病的主要原因。嗜水气单胞菌是CAPD患者发生腹膜炎的罕见病因。我们在此报告一名44岁接受CAPD治疗的女性患者发生嗜水气单胞菌腹膜炎。腹透液培养出嗜水气单胞菌。患者报告她不慎将腹膜透析导管掉入马桶。药敏试验显示该菌对头孢他啶敏感，但对环丙沙星耐药。患者先静脉滴注头孢他啶2天，随后腹腔内注射头孢他啶12天，治疗成功。抗生素治疗2周后，她完全康复出院。
