Calça Rita, Gomes da Silva Francisca, Martins Ana Rita, Branco Patrícia Quadros
Nephrology Department, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Santa Cruz, Carnaxide, Portugal
Nephrology Department, Hospital Doutor Nélio Mendonça, Funchal, Portugal.
BMJ Case Rep. 2021 Mar 24;14(3):e240272. doi: 10.1136/bcr-2020-240272.
Peritonitis remains a common and serious complication of peritoneal dialysis. Peritonitis caused by gram-positive organisms includes coagulase-negative staphylococci, spp and spp. We present a rare case of peritoneal dialysis-associated peritonitis, where persisting abdominal pain and worsening laboratory findings despite antibiotic therapy led to the identification of , requiring Tenckoff catheter removal and temporary transfer to haemodialysis. The available literature reports only few cases where peritonitis is caused by this agent, underlining the need to consider atypical microbial agents when heterogeneous clinical course is presented.
腹膜炎仍然是腹膜透析常见且严重的并发症。由革兰氏阳性菌引起的腹膜炎包括凝固酶阴性葡萄球菌、 种和 种。我们报告一例罕见的腹膜透析相关性腹膜炎病例,尽管进行了抗生素治疗,但持续的腹痛和实验室检查结果恶化导致了 菌的鉴定,需要拔除Tenckoff导管并临时转为血液透析。现有文献仅报道了少数几例由该病原体引起腹膜炎的病例,强调在出现异质性临床病程时需要考虑非典型微生物病原体。