持续性非卧床腹膜透析腹膜炎的一种罕见病原体：

A rare agent of continuous ambulatory peritoneal dialysis peritonitis: .

作者信息

Karadeniz Andaç, Aydemir H Ahmet, Uyanık M Hamidullah, Uyanık Abdullah, Çankaya Erdem

机构信息

Department of Internal Medicine, Faculty of Medicine, Atatürk University, Erzurum, Turkey.

Department of Family Medicine, Faculty of Medicine, Atatürk University, Erzurum, Turkey.

出版信息

Saudi J Kidney Dis Transpl. 2019 Jan-Feb;30(1):250-253.

PMID:30804290

Abstract

Peritonitis is a common clinical problem in patients treated by continuous ambulatory peritoneal dialysis (CAPD). The most common microbiological factors causing peritonitis are Gram-positive (especially Staphylococcus spp.). Peritonitis with Rhizobium radiobacter (Agrobacterium radiobacter) is a rare infection in CAPD patients. Peritonitis due to R. radiobacter has been reported in our patient's dialysate culture who underwent CAPD for three years. We report the case of a 26-year-old female PD patient who had CAPD peritonitis due to R. radiobacter and successfully treated with intraperitoneal vancomycin and oral ciprofloxacin without relapses or removing the PD catheter.

摘要

腹膜炎是持续性非卧床腹膜透析（CAPD）患者常见的临床问题。引起腹膜炎最常见的微生物因素是革兰氏阳性菌（尤其是葡萄球菌属）。放射根瘤菌（放射土壤杆菌）引起的腹膜炎在CAPD患者中是一种罕见感染。我们的患者在接受CAPD三年的透析液培养中报告了由放射根瘤菌引起的腹膜炎。我们报告一例26岁女性腹膜透析患者，因放射根瘤菌引起CAPD腹膜炎，经腹腔注射万古霉素和口服环丙沙星成功治疗，无复发且未拔除腹膜透析导管。