Leung A C, Orange G, Henderson I S, Kennedy A C
Clin Nephrol. 1984 Oct;22(4):200-5.
Five patients on continuous ambulatory peritoneal dialysis (CAPD) developed peritonitis caused by diphtheroid bacteria. Peritoneal catheter exit site inflammation and/or discharge preceded all cases and relapses were common. Antimicrobial therapy alone failed to eradicate the bacteria and peritoneal catheter removal was required before peritonitis resolved. Laboratory culture of the diphtheroid bacteria was difficult and prolonged incubation was often necessary. Diphtheroid bacteria are important opportunistic pathogens in immunocompromised patients and should be carefully sought for in all cases of culture-negative CAPD-associated peritonitis.
5名持续非卧床腹膜透析（CAPD）患者发生了由类白喉杆菌引起的腹膜炎。所有病例均先出现腹膜导管出口部位炎症和/或渗液，且复发很常见。单独的抗菌治疗未能根除细菌，在腹膜炎消退之前需要拔除腹膜导管。类白喉杆菌的实验室培养困难，通常需要延长培养时间。类白喉杆菌是免疫功能低下患者重要的机会性病原体，在所有培养阴性的CAPD相关性腹膜炎病例中均应仔细查找。
