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一名接受自动腹膜透析的女孩发生腹膜炎:病例报告及文献综述

peritonitis in a girl on automated peritoneal dialysis: Case report and review of the literature.

作者信息

Otsuka Taketo, Hasegawa Hiroya, Yamada Takeshi, Kaneko Utako, Saitoh Akihiko

机构信息

Department of Pediatrics, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan.

出版信息

IDCases. 2017 Jun 15;9:47-49. doi: 10.1016/j.idcr.2017.06.003. eCollection 2017.

DOI:10.1016/j.idcr.2017.06.003
PMID:28660129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5480228/
Abstract

is a rare cause of peritonitis in patients on peritoneal dialysis (PD). We report a case of peritonitis due to non-typeable in a 5-year-old girl on automated PD. The patient was successfully treated with intraperitoneal cefepime and cefazolin. The isolate was multilocus sequence type 3 and contained the and genes but was -negative. Seven of the eight reported cases were female, indicating that sex-associated factors may be important in peritonitis in patients on PD. Determination of the pathogenesis of PD-associated peritonitis requires gene analysis and a swab sample from the vaginal introitus.

摘要

是腹膜透析(PD)患者腹膜炎的罕见病因。我们报告一例5岁接受自动腹膜透析的女童因不可分型[具体细菌名称未给出]引起的腹膜炎病例。患者通过腹腔注射头孢吡肟和头孢唑林成功治愈。分离菌株为多位点序列型3,含有[具体基因名称未给出]和[具体基因名称未给出]基因,但[具体检测项目未给出]为阴性。报告的8例病例中有7例为女性,表明性别相关因素可能在PD患者的[具体细菌名称未给出]腹膜炎中起重要作用。确定与PD相关的[具体细菌名称未给出]腹膜炎的发病机制需要进行基因分析以及从阴道前庭采集拭子样本。

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1
Individual risk factors associated with nasopharyngeal colonization with Streptococcus pneumoniae and Haemophilus influenzae: a Japanese birth cohort study.与肺炎链球菌和流感嗜血杆菌鼻咽定植相关的个体危险因素:一项日本出生队列研究。
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Mikrobiyol Bul. 2009 Jul;43(3):477-80.
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Automated peritoneal dialysis-associated peritonitis due to Haemophilus influenzae showing the BLNAR phenotype.由具有 BLNAR 表型的流感嗜血杆菌引起的自动化腹膜透析相关腹膜炎。
Int J Infect Dis. 2009 Nov;13(6):e470-2. doi: 10.1016/j.ijid.2009.01.001. Epub 2009 Mar 14.
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Haemophilus influenzae CAPD peritonitis in an HIV-infected patient.一名感染HIV患者的流感嗜血杆菌所致持续性非卧床腹膜透析相关性腹膜炎
J Infect. 2007 Mar;54(3):e119-20. doi: 10.1016/j.jinf.2006.07.004. Epub 2006 Aug 28.
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Nontypeable Haemophilus influenzae as a cause of spontaneous bacterial peritonitis.非典型流感嗜血杆菌作为自发性细菌性腹膜炎的病因
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Molecular characterisation of Haemophilus influenzae type a and untypeable strains isolated simultaneously from cerebrospinal fluid and blood: novel use of quantitative real-time PCR based on the cap copy number to determine virulence.从脑脊液和血液中同时分离出的甲型流感嗜血杆菌及不可分型菌株的分子特征:基于帽拷贝数的定量实时PCR在确定毒力方面的新应用
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Characterization of encapsulated and noncapsulated Haemophilus influenzae and determination of phylogenetic relationships by multilocus sequence typing.通过多位点序列分型对有荚膜和无荚膜流感嗜血杆菌进行特征分析及系统发育关系测定。
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