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一例腹膜透析相关性腹膜炎病例报告:当猫咪把医疗设备当成玩具时

A Case Report on Peritoneal Dialysis-Associated Peritonitis: When Cats Think Medical Equipment Are Toys.

作者信息

Mirzai Saeid, Rifai Ahmad Oussama, Tidrick Aron, Huang Qitan, Hale Justin

机构信息

Alabama College of Osteopathic Medicine, 445 Health Sciences Blvd, Dothan, AL 36303, USA.

The Virtual Nephrologist, INC., PO Box 1750, Lynn Haven, FL 32444, USA.

出版信息

Case Rep Nephrol. 2019 Dec 9;2019:5150695. doi: 10.1155/2019/5150695. eCollection 2019.

Abstract

is an aerobic gram-negative coccobacillus usually found in the oral cavities of most healthy cats and dogs as part of their natural oral flora. This zoonotic pathogen can cause a variety of infections in humans through bites, scratches, or licking. Infections range from less severe cases, such as infected animal bites and cellulitis, to more severe cases of pneumonia, septic arthritis, osteomyelitis, sepsis, and meningitis. However, the number of reported cases of peritoneal dialysis-associated peritonitis caused by has been limited worldwide. Here, we report the case of a 59-year-old man undergoing continuous cycling peritoneal dialysis who developed peritonitis, believed to be secondary to domestic cat exposure to dialysis equipment. Due to the increasing trend of pet ownership, patients maintained on peritoneal dialysis should be educated on the importance of strict hygiene and avoiding pet contact with the dialysis equipment, especially in bag exchange areas. Although the best means of preventing such infections is to avoid having pets at home, the positive psychological effects of pet ownership should also be considered. Thus, patients in such situations should be continuously educated and encouraged to be mindful of the importance of environmental hygiene.

摘要

是一种需氧革兰氏阴性球杆菌,通常作为大多数健康猫和狗口腔自然菌群的一部分存在于它们的口腔中。这种人畜共患病原体可通过咬伤、抓伤或舔舐在人类中引起多种感染。感染范围从不太严重的情况,如被感染动物咬伤和蜂窝织炎,到更严重的肺炎、化脓性关节炎、骨髓炎、败血症和脑膜炎。然而,由其引起的腹膜透析相关腹膜炎的报告病例数在全球范围内一直有限。在此,我们报告一例59岁接受持续循环腹膜透析的男性发生腹膜炎的病例,据信这是由于家猫接触透析设备继发所致。由于宠物饲养呈上升趋势,应对接受腹膜透析的患者进行教育,使其了解严格卫生以及避免宠物接触透析设备的重要性,尤其是在换袋区域。尽管预防此类感染的最佳方法是避免在家中饲养宠物,但也应考虑宠物饲养带来的积极心理影响。因此,应对处于这种情况的患者持续进行教育并鼓励他们注意环境卫生的重要性。

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