卡他莫拉菌腹膜炎
Moraxella Catarrhalis peritonitis.
作者信息
Sadjadi Seyed-Ali, Obedoza Paz, Annamarju Pavan
机构信息
Section of Nephrology, Jerry L Pettis Memorial Veterans Medical Center, Loma Linda University School of Medicine, Loma Linda, CA, U.S.A.
出版信息
Am J Case Rep. 2012;13:19-21. doi: 10.12659/AJCR.882358. Epub 2012 Jan 23.
BACKGROUND
Peritonitis continues to be a major complication of peritonitis in peritoneal dialysis patients. Recent advances in connectology and better patient training have decreased the incidence of peritonitis in the last two decades. Peritonitis in PD patients is usually due to gram positive and less often due to gram negative organisms. Herein we report a case of peritonitis due to Moraxella Catarrhalis and review the literature on the diagnosis and treatment of this rare cause of peritonitis.
CASE REPORT
Our patient was a 56 year old man with end stage renal disease, on peritoneal dialysis, who was totally asymptomatic and on routine clinic visit was noted to have a high white blood cell count in his peritoneal fluid. Due to the nature of the organism, it took two weeks and two different microbiology laboratories to identify the organism and provide proper treatment.
CONCLUSIONS
Peritonitis is the major cause of peritoneal dialysis failure and prompt recognition of the causative agent is of crucial importance to the proper and timely management of this complication.
背景
腹膜炎仍然是腹膜透析患者的主要并发症。在过去二十年中，连接技术的进步和更好的患者培训降低了腹膜炎的发病率。腹膜透析患者的腹膜炎通常由革兰氏阳性菌引起，较少由革兰氏阴性菌引起。在此，我们报告一例由卡他莫拉菌引起的腹膜炎病例，并回顾关于这种罕见腹膜炎病因的诊断和治疗的文献。
病例报告
我们的患者是一名56岁的终末期肾病男性，正在进行腹膜透析，他完全没有症状，在常规门诊就诊时被发现腹膜液中白细胞计数很高。由于该生物体的性质，花了两周时间和两个不同的微生物实验室才鉴定出该生物体并提供适当的治疗。
结论
腹膜炎是腹膜透析失败的主要原因，及时识别病原体对于正确、及时地处理这种并发症至关重要。
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