Althaf Mohammed Mahdi, Abdelsalam Mohamed Said, Alsunaid Mohammed Sunaid, Hussein Maged Hassan
Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, Riyadh, Ar-Riyadh, Saudi Arabia.
BMJ Case Rep. 2014 Mar 19;2014:bcr2014203611. doi: 10.1136/bcr-2014-203611.
We report a case of relapsing peritonitis in a 33-year-old woman on automated peritoneal dialysis. End-stage renal disease was secondary to systemic lupus erythematosus complicated with lupus nephritis. The organism isolated was Brevibacterium casei that was not readily identified, delaying appropriate management with an extended antibiotic course. Definite management of B casei peritonitis was peritoneal dialysis catheter removal.
我们报告一例33岁接受自动化腹膜透析的女性复发性腹膜炎病例。终末期肾病继发于系统性红斑狼疮合并狼疮性肾炎。分离出的病原体是酪短杆菌,这种菌不易识别,导致延长抗生素疗程的适当治疗延迟。酪短杆菌腹膜炎的明确治疗方法是拔除腹膜透析导管。