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从植物传播至人类并引发腹膜透析相关性腹膜炎的植物病原体。

Phytopathogen transmitted from plant to human causing peritoneal dialysis-associated peritonitis.

作者信息

Jaroenpattrawut Bunpring, Poonvivatchaikarn Ussanee, Kanjanabuch Talerngsak, Eiam-Ong Somchai

机构信息

Nephrology Clinic, Nakhon Pathom Hospital, Thailand.

Center of Excellence in Kidney Metabolic Disorders, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

出版信息

Perit Dial Int. 2022 Mar;42(2):223-226. doi: 10.1177/08968608211048063. Epub 2021 Sep 29.

Abstract

We report the first case of peritoneal dialysis (PD)-associated peritonitis due to , a thermally dimorphic black fungus transmitted from epiphytotic disease. The patient presented with PD-associated peritonitis and fungal colonisation inside the PD catheter's lumen after an exposing 'wet contamination' event with a phytopathogen 11 days prior to the onset of infection. The human pathogen and phytopathogen were confirmed the same species by nucleotide sequences of the internal transcribed spacer and large subunit regions of the ribosomal RNA gene. A 'wet contamination' should be closely monitored for an extended period, and a broader spectrum of organisms might lead to peritonitis, particularly in centres with a high prevalence of fungal infection. PD patients and their caregivers should have periodic retraining of aseptic technique and personnel hygiene. We also recommend a long course of antifungal medication in eradicating peritoneal sporotrichosis to prevent unfavourable outcomes and relapsing peritonitis from this organism.

摘要

我们报告了首例因 引起的腹膜透析(PD)相关腹膜炎病例, 是一种从植物病害传播而来的热双态黑色真菌。患者在感染发作前11天因接触植物病原体发生“湿污染”事件后,出现了PD相关腹膜炎和PD导管腔内的真菌定植。通过核糖体RNA基因的内部转录间隔区和大亚基区域的核苷酸序列,确认人类病原体和植物病原体为同一物种。应长期密切监测“湿污染”情况,更广泛的生物体可能导致腹膜炎,特别是在真菌感染高发的中心。PD患者及其护理人员应定期接受无菌技术和个人卫生再培训。我们还建议使用长疗程抗真菌药物来根除腹膜孢子丝菌病,以防止该生物体导致不良后果和腹膜炎复发。

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