一例因畸胎瘤导致的难治性多重耐药性腹膜透析相关性腹膜炎复杂病例。
A complicated case of refractory multiple drug-resistant peritoneal dialysis-associated peritonitis due to teratoma.
作者信息
Mao Li-Yan, Tang Yi, Yang Juan
机构信息
Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
出版信息
IDCases. 2025 Mar 31;40:e02209. doi: 10.1016/j.idcr.2025.e02209. eCollection 2025.
Peritoneal dialysis-associated peritonitis is a leading cause of treatment discontinuation and mortality among peritoneal dialysis patients. The presence of multidrug-resistant organisms further complicates management, particularly in patients with complex intra-abdominal conditions. This paper presents a complicated case of refractory multidrug-resistant peritoneal dialysis-associated peritonitis, which was ultimately diagnosed as being caused by a teratoma. Following adequate drainage and the administration of sensitive antibiotics, the patient successfully underwent teratoma excision and transitioned to hemodialysis.
腹膜透析相关腹膜炎是腹膜透析患者治疗中断和死亡的主要原因。多重耐药菌的存在使治疗管理更加复杂，尤其是在有复杂腹腔内情况的患者中。本文介绍了一例难治性多重耐药腹膜透析相关腹膜炎的复杂病例，最终诊断为由畸胎瘤引起。在充分引流并给予敏感抗生素后，患者成功接受了畸胎瘤切除并转为血液透析。
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