终末期肾病患者接受自动化腹膜透析时发生的**介导性**腹膜炎：病例报告及文献综述。 注：原文中“-mediated”这个词前面应该还有个单词没写完整，我按照字面意思翻译为“介导性”，你可根据完整内容进行调整。
-mediated peritonitis in an end-stage renal disease patient on automated peritoneal dialysis: a case report and literature review.
作者信息
Alsayed Ahmed, Abdalla El Mustafa, Ali Bashir, Hatem Ahmed, Albsheer Khalid, Elhadi Mohamed, Makawi Amna
机构信息
Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
出版信息
Ann Med Surg (Lond). 2023 Feb 7;85(2):175-177. doi: 10.1097/MS9.0000000000000018. eCollection 2023 Feb.
UNLABELLED
Peritoneal dialysis (PD) can result in peritonitis, which frequently causes severe and near-fatal clinical implications if left untreated. Usually, gram-positive bacteria are the most common organisms involved. Uncommonly recognized as the cause of peritonitis in PD patients, is a gram-negative nasal and oropharyngeal normal flora organism.
CASE PRESENTATION
We report a rare case of a 29-year-old man who had received automated PD for 6 years and had peritonitis.
DISCUSSION
Several case reports of -related peritonitis may point to the potential pathogenicity of such organisms and suggest that many cases of culture-negative peritonitis may have been misdiagnosed. Poor nutrition and chronic kidney disease have been suggested as potential risk factors for peritonitis, both of which are present in our patient. With appropriate antibiotic use, most of the cases respond well to empirical treatment.
CONCLUSION
Although rare, can lead to PD catheter. peritonitis that, in some cases, require changing to hemodialysis.
未标记
腹膜透析（PD）可导致腹膜炎，如果不治疗，腹膜炎常常会引发严重且近乎致命的临床后果。通常，革兰氏阳性菌是最常见的致病微生物。作为PD患者腹膜炎的病因鲜为人知的是一种革兰氏阴性鼻和口咽正常菌群微生物。
病例报告
我们报告一例罕见病例，一名29岁男性接受自动化腹膜透析6年，发生了腹膜炎。
讨论
几例与[该微生物名称未给出]相关的腹膜炎病例报告可能表明此类微生物具有潜在致病性，并提示许多培养阴性的腹膜炎病例可能被误诊。营养不良和慢性肾脏病被认为是[该微生物名称未给出]腹膜炎的潜在危险因素，这两个因素在我们的患者中均存在。通过适当使用抗生素，大多数病例对经验性治疗反应良好。
结论
尽管罕见，但[该微生物名称未给出]可导致腹膜透析导管相关腹膜炎，在某些情况下需要改为血液透析。
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