由抗生性微杆菌引起的复发性腹膜透析相关性腹膜炎
Recurrent peritoneal dialysis-related peritonitis caused by Microbacterium resistens.
作者信息
Gallois Emmanuelle, Lamy Thomas, Fines-Guyon Marguerite, Lobbedez Thierry, Cattoir Vincent
机构信息
CHU de Caen, Service de Microbiologie, F-14033 Caen, France.
CHU de Caen, Service de Néphrologie, F-14033 Caen, France.
出版信息
Diagn Microbiol Infect Dis. 2014 May;79(1):111-3. doi: 10.1016/j.diagmicrobio.2013.10.021. Epub 2013 Nov 7.
We report a case of a recurrent peritonitis due to Microbacterium resistens in a 71-year-old male patient undergoing peritoneal dialysis (PD). Importantly, this Gram-positive rod was intrinsically resistant to cephalosporins and vancomycin, classically used in PD-related peritonitis treatment. His infection resolved after several weeks of appropriate therapy (amoxicillin plus gentamicin) and PD catheter removal.
我们报告了一例71岁接受腹膜透析（PD）的男性患者因抗药微杆菌引起复发性腹膜炎的病例。重要的是，这种革兰氏阳性杆菌对经典用于治疗PD相关腹膜炎的头孢菌素和万古霉素具有内在抗性。经过数周的适当治疗（阿莫西林加庆大霉素）并拔除PD导管后，他的感染得到了缓解。
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