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质谱诊断成功治疗黏膜罗尔斯顿菌引起的腹膜炎。

Successfully Treated Roseomonas mucosa-induced Peritonitis Diagnosed by Mass Spectrometry.

机构信息

Division of Nephrology, Department of Internal Medicine, Teikyo University Chiba Medical Center, Japan.

Department of Nephrology, Kawanishi City Medical Center, Japan.

出版信息

Intern Med. 2024 Aug 15;63(16):2311-2315. doi: 10.2169/internalmedicine.2998-23. Epub 2024 Jan 13.

DOI:10.2169/internalmedicine.2998-23
PMID:38220190
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11414375/
Abstract

Roseomonas mucosa is difficult to identify using routine analytical techniques. We herein report a case of peritoneal dialysis (PD)-related peritonitis caused by R. mucosa identified using matrix-assisted laser desorption/ionization-time-of-flight (MALDI-TOF) mass spectrometry (MS). A 70-year-old woman was admitted to our hospital with PD-related peritonitis. Blood agar medium of dialysate culture derived colony pale pink in color, and the organism was identified as R. mucosa using MALDI-TOF MS. She was successfully treated with ciprofloxacin and meropenem without catheter removal. To our knowledge, this is the first case of R. mucosa peritonitis in which technique failure has been avoided.

摘要

黏膜罗斯菌使用常规分析技术难以鉴定。我们在此报告 1 例使用基质辅助激光解吸/电离飞行时间（MALDI-TOF）质谱（MS）鉴定的黏膜罗斯菌引起的腹膜透析（PD）相关腹膜炎。1 例 70 岁女性因 PD 相关腹膜炎而入院。从透析液培养的血琼脂培养基中获得的菌落呈淡粉红色，使用 MALDI-TOF MS 鉴定为黏膜罗斯菌。她成功地接受了环丙沙星和美罗培南治疗，而无需移除导管。据我们所知，这是首例避免技术失败的黏膜罗斯菌性腹膜炎病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/11414375/7e718d079763/1349-7235-63-2311-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/11414375/fbce8f76c22e/1349-7235-63-2311-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/11414375/7e718d079763/1349-7235-63-2311-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/11414375/fbce8f76c22e/1349-7235-63-2311-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0f/11414375/7e718d079763/1349-7235-63-2311-g002.jpg

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本文引用的文献

1
ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment.国际腹膜透析学会（ISPD）腹膜炎指南建议：2022年预防与治疗更新版
Perit Dial Int. 2022 Mar;42(2):110-153. doi: 10.1177/08968608221080586.
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Case Rep Nephrol. 2021 Nov 1;2021:1979332. doi: 10.1155/2021/1979332. eCollection 2021.
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Therapeutic responses to in atopic dermatitis may involve lipid-mediated TNF-related epithelial repair.
特应性皮炎中对[具体治疗方式未提及]的治疗反应可能涉及脂质介导的肿瘤坏死因子相关上皮修复。
Sci Transl Med. 2020 Sep 9;12(560). doi: 10.1126/scitranslmed.aaz8631.
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A case of bacterial peritonitis caused by Roseomonas mucosa in a patient undergoing continuous ambulatory peritoneal dialysis.1例持续性非卧床腹膜透析患者发生黏膜玫瑰单胞菌所致细菌性腹膜炎。
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Transplantation of human skin microbiota in models of atopic dermatitis.人类皮肤微生物群在特应性皮炎模型中的移植
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Peritonitis and technique failure caused by Roseomonas mucosa in an adolescent infected with HIV on continuous cycling peritoneal dialysis.青少年 HIV 感染者持续循环腹膜透析中由玫瑰单胞菌引起的腹膜炎和技术失败。
J Clin Microbiol. 2012 Nov;50(11):3801-4. doi: 10.1128/JCM.01437-12. Epub 2012 Aug 29.
8
Peritonitis in recent years: clinical findings and predictors of treatment response of 170 episodes at a single Brazilian center.近年来的腹膜炎：巴西单一中心 170 例的临床发现和治疗反应预测因素。
Int Urol Nephrol. 2012 Oct;44(5):1529-37. doi: 10.1007/s11255-011-0107-7.
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Microbiology and outcomes of peritonitis in Australian peritoneal dialysis patients.澳大利亚腹膜透析患者腹膜炎的微生物学和结局。
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10
Peritonitis is still an important factor for withdrawal from peritoneal dialysis therapy in the Tokai area of Japan.腹膜炎仍然是导致日本东海地区腹膜透析治疗退出的一个重要因素。
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