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腹膜透析相关腹膜炎患者中的罕见病原体:一例报告

Unusual Pathogen in a Patient With Peritoneal Dialysis-Related Peritonitis: A Case Report.

作者信息

Aboulhosn Alya Z, Takele Rebecca A, Laflam Paul F

机构信息

Nephrology, Edward Via College of Osteopathic Medicine, Blacksburg, USA.

Nephrology, Carilion New River Valley Medical Center, Christiansburg, USA.

出版信息

Cureus. 2022 Apr 8;14(4):e23948. doi: 10.7759/cureus.23948. eCollection 2022 Apr.

Abstract

Peritoneal dialysis (PD) is an effective modality for renal replacement therapy. A serious complication that can arise from PD is peritonitis. Over the last few decades, there have been cases of PD-related peritonitis secondary to infections We present the case of a 44-year-old female who presented to the emergency department with a one-day history of abdominal pain and cloudy peritoneal fluid on evaluation. Along with her physical examination findings, laboratory results of the peritoneal fluid demonstrated elevated white blood cells and neutrophils, characteristic of peritonitis. Ultimately, the culture results were positive for Although is not the most common cause of peritonitis, it is a common cause in PD patients who have domesticated animals. With two out of three people being pet owners and the increased number of people on home therapies such as PD for kidney failure, it is important to educate patients about the proper precautions and techniques to prevent peritonitis and its associated complications. Additionally, proper antibiotic management should be implemented for patients with an increased risk of infection.

摘要

腹膜透析(PD)是一种有效的肾脏替代治疗方式。PD可能引发的一种严重并发症是腹膜炎。在过去几十年里,出现了一些因感染继发的与PD相关的腹膜炎病例。我们报告一例44岁女性病例,该患者因腹痛一天到急诊科就诊,评估时发现腹膜透析液浑浊。结合其体格检查结果,腹膜透析液的实验室检查结果显示白细胞和中性粒细胞升高,这是腹膜炎的特征。最终,培养结果显示 呈阳性。虽然 不是腹膜炎最常见的病因,但在饲养家畜的PD患者中是常见病因。由于三分之二的人是宠物主人,且接受诸如PD治疗肾衰竭等家庭治疗的人数增加,因此对患者进行预防腹膜炎及其相关并发症的适当预防措施和技术教育很重要。此外,对于感染风险增加的患者应实施适当的抗生素管理。

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