Renal Unit, Department of Medicine, University Malaya Medical Center, Kuala Lumpur, Malaysia.
Ren Fail. 2012;34(6):804-6. doi: 10.3109/0886022X.2012.678208. Epub 2012 Apr 17.
Peritonitis is well recognized as the Achilles tendon of peritoneal dialysis (PD). Reoccurrence of peritonitis due to the same organism, defined as either repeat or relapsing peritonitis under the 2005 guidelines by the International Society for Peritoneal Dialysis, often results in PD technique failure. Rothia dentocariosa, a low-virulent human oropharynx commensal, is a rarely reported pathogen in human infection, particularly infective endocarditis. R. dentocariosa PD-related peritonitis is exceedingly uncommon yet potentially results in repeat or relapsing peritonitis which requires catheter removal. We report a case of R. dentocariosa repeat and relapsing peritonitis in a PD patient who was treated successfully with antimicrobial therapy.
腹膜炎是腹膜透析（PD）的一大难题。根据国际腹膜透析学会 2005 年指南的定义，由于同一病原体引起的腹膜炎复发或再发，通常会导致 PD 技术失败。黏齿罗斯菌是一种低毒的人类口腔共生菌，在人类感染中很少被报道，特别是感染性心内膜炎。黏齿罗斯菌与 PD 相关的腹膜炎非常罕见，但可能导致重复或复发的腹膜炎，需要移除导管。我们报告了一例 PD 患者黏齿罗斯菌重复和复发腹膜炎的病例，该患者经抗菌治疗成功治愈。
