Al-Zahrani Firas Fahad, Al-Shahrani Hussain, Al-Mohawes Ashwaq, Al-Hwiesh Abdullah, Noor Abdusalam, Abdulrahmn Ibrahiem Saeed
Department of Internal Medicine, Security Force Hospital, Dammam, Saudi Arabia.
Department of Internal Medicine, Nephrology Division, King Fahd Hospital of the University, University of Dammam, Dammam, Saudi Arabia.
Saudi J Kidney Dis Transpl. 2018 Mar-Apr;29(2):466-469. doi: 10.4103/1319-2442.229290.
Peritoneal dialysis (PD)-associated peritonitis is an important contributor to morbidity and mortality; Gram-positive bacteria constitute the most frequent associated pathogens (45%-60%) followed by Gram-negative bacteria (25%-40%) and fungal infection (3%-6%). Salmonella peritonitis is an extremely rare cause of peritonitis (0.15%). Peritonitis attributed to Salmonella has been reported only in four cases. Herewith, we report a 68-year-old Sudanese female who presented to our PD unit with abdominal pain and diarrhea and was diagnosed to have Salmonella peritonitis. She was managed without catheter removal. To our knowledge, the association between Salmonella peritonitis due to Salmonella enteritidis in a patient on PD managed without catheter removal has been reported in only one case previously.
腹膜透析（PD）相关腹膜炎是发病率和死亡率的重要影响因素；革兰氏阳性菌是最常见的相关病原体（45%-60%），其次是革兰氏阴性菌（25%-40%）和真菌感染（3%-6%）。沙门氏菌腹膜炎是腹膜炎极为罕见的病因（0.15%）。仅报道过4例由沙门氏菌引起的腹膜炎。在此，我们报告一名68岁的苏丹女性，她因腹痛和腹泻就诊于我们的腹膜透析科，被诊断为沙门氏菌腹膜炎。她在未拔除导管的情况下接受了治疗。据我们所知，此前仅报道过1例在未拔除导管的情况下接受治疗的腹膜透析患者因肠炎沙门氏菌引起沙门氏菌腹膜炎的病例。
