Otsuka Taketo, Hasegawa Hiroya, Yamada Takeshi, Kaneko Utako, Saitoh Akihiko
Department of Pediatrics, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan.
IDCases. 2017 Jun 15;9:47-49. doi: 10.1016/j.idcr.2017.06.003. eCollection 2017.
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.
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。