成功治疗无导管移除的节菱孢属引起的腹膜炎：病例报告及文献复习。
Successful treatment of peritonitis caused by Acremonium species without catheter removal: Case report and literature review.
机构信息
Department of Nephrology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
Laboratory Medicine Department, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
出版信息
J Infect Dev Ctries. 2023 Nov 30;17(11):1631-1635. doi: 10.3855/jidc.17679.
INTRODUCTION
It is a rare case of continuous ambulatory peritoneal dialysis-related peritonitis associated with Acremonium spp infection.
CASE PRESENTATION
Symptoms of Acremonium infection peritonitis are hidden and atypical, leucocytes in ascites are moderately elevated, and general bacterial culture difficulty obtains positive results. In this report, a patient with peritoneal dialysis-related peritonitis caused by Acremonium species was successfully treated without catheter removal in our hospital. The organism species was cultured from a catheter and PD effluent fluid. The patient's peritonitis did not relapse within 6 months.
CONCLUSIONS
Once a patient on peritoneal dialysis was infected with fungal peritonitis, the outcome was usually to remove the tube and stop peritoneal dialysis. In this case, our experience is that using a catheter-salvage therapy method, we can successfully cure PD-related peritonitis associated with Acremonium sp.
引言
这是一例罕见的与枝顶孢属感染相关的持续性非卧床腹膜透析相关性腹膜炎。
病例介绍
枝顶孢属感染性腹膜炎的症状隐匿且不典型，腹水白细胞中度升高，一般细菌培养难以获得阳性结果。在本报告中，我院成功治疗了一例由枝顶孢属引起的腹膜透析相关性腹膜炎患者，无需拔除导管。该病原体是从导管和 PD 流出液中培养出来的。该患者在 6 个月内未复发腹膜炎。
结论
一旦腹膜透析患者感染真菌性腹膜炎，通常的结局是拔管并停止腹膜透析。在这种情况下，我们的经验是使用导管挽救治疗方法，可以成功治愈与枝顶孢属相关的 PD 相关性腹膜炎。
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