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持续循环腹膜透析患者的诱导性腹膜炎:病例报告与文献分析

-Induced Peritonitis in a Patient Undergoing Continuous Cycler Peritoneal Dialysis: Case Report and Literature Analysis.

作者信息

Roy Sasmit, Patel Sumit, Kummamuru Hardhik, Garcha Amarinder Singh, Gupta Rohan, Adapa Sreedhar

机构信息

Department of Medicine, Centra Health, Lynchburg, VA 24501, USA.

Department of Internal Medicine, Adventist Health Community Care, Hanford, CA 93230, USA.

出版信息

Case Rep Nephrol. 2021 Nov 1;2021:1979332. doi: 10.1155/2021/1979332. eCollection 2021.

Abstract

species, a rare Gram-negative microorganism, has seldom been reported to cause peritonitis in end-stage renal disease patients on peritoneal dialysis. Only seven cases of peritonitis by this rare microorganism have been reported worldwide. Treatment options can be challenging if not detected early and can lead to significant morbidity and mortality along with the switching of the dialysis modality to hemodialysis which is highly undesirable. Our patient is a 65-year-old Caucasian female who needed to be changed to emergency hemodialysis due to inability to perform peritoneal dialysis from suspected peritonitis and was subsequently discovered to have peritonitis from . She recovered with a prolonged antibiotics course and returned to peritoneal dialysis in 3 months following her treatment completion. Prompt diagnosis and prolonged antibiotics are a cornerstone in the management of this rare microorganism to prevent mortality and morbidity from peritonitis.

摘要

种,一种罕见的革兰氏阴性微生物,很少有报道称其会在接受腹膜透析的终末期肾病患者中引起腹膜炎。全球仅报告了7例由这种罕见微生物引起的腹膜炎病例。如果不及早发现,治疗选择可能具有挑战性,并且可能导致严重的发病率和死亡率,同时还会将透析方式转换为血液透析,而这是非常不可取的。我们的患者是一名65岁的白种女性,因疑似腹膜炎无法进行腹膜透析而需要改为紧急血液透析,随后被发现患有由……引起的腹膜炎。她通过延长抗生素疗程康复,并在治疗完成后3个月恢复了腹膜透析。及时诊断和延长抗生素使用时间是管理这种罕见微生物以预防腹膜炎导致的死亡率和发病率的基石。

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species infections in humans: a systematic review.人类中的物种感染:一项系统综述。
J Chemother. 2020 Sep;32(5):226-236. doi: 10.1080/1120009X.2020.1785742. Epub 2020 Jul 3.

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