Kang Ji Hyoun, Kim Min Jee, Kang Yong Un, Kim Chang Seong, Choi Joon Seok, Bae Eun Hui, Ma Seong Kwon, Kim Soo Wan
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Infect Chemother. 2013 Mar;45(1):105-7. doi: 10.3947/ic.2013.45.1.105. Epub 2013 Mar 29.
We report a case of Serratia marcescens peritonitis in a 45-year-old man with insulin-dependent diabetes mellitus undergoing continuous ambulatory peritoneal dialysis (CAPD). The patient presented with abdominal pain and cloudy dialysate. Empiric antibiotic therapy was initiated intraperitoneally with cefazolin and ceftazidime for 5 days. Cultures of the dialysate revealed S. marcescens, and the treatment was subsequently changed to gentamicin and ceftazidime. Oral ciprofloxacin was also added. The patient's abdominal pain and the dialysate white blood cell (WBC) count, however, did not improve. The indwelling CAPD catheter was therefore removed. This is an unusual case report in the Korean literature of S. marcescens peritonitis in a patient receiving CAPD.
我们报告一例45岁胰岛素依赖型糖尿病男性患者在持续非卧床腹膜透析(CAPD)期间发生的粘质沙雷氏菌腹膜炎。患者出现腹痛和透析液浑浊。经验性腹腔内使用头孢唑林和头孢他啶进行抗生素治疗5天。透析液培养显示为粘质沙雷氏菌,随后治疗改为庆大霉素和头孢他啶。还加用了口服环丙沙星。然而,患者的腹痛和透析液白细胞(WBC)计数并未改善。因此拔除了留置的CAPD导管。这是韩国文献中关于接受CAPD患者发生粘质沙雷氏菌腹膜炎的一份罕见病例报告。