Cureus · 2025
A Case of Refractory Peritoneal Dialysis-Related Peritonitis Caused by Streptococcus gordonii.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Torigoe Kenta, Yamashita Yoshie, Yamashita Ayuko, Ota Yuki, Kitamura Mineaki, Sakimura Naofumi, Uramatsu Tadashi, Takazono Takahiro, Sakamoto Noriho, Muta Kumiko, Mukae Hiroshi, Nishino Tomoya
Аннотация
An 82-year-old woman undergoing peritoneal dialysis (PD) presented to our hospital with cloudy PD effluent since four days. The leukocyte count in the effluent was elevated to 2900/μL, and the patient was diagnosed with PD-related peritonitis. Treatment with cefazolin and ceftazidime was initiated; however, the leukocyte count in the effluent did not improve. Culture of the effluent revealed the presence of Streptococcus gordonii. Treatment was switched to ampicillin monotherapy; however, when the leukocyte count in the effluent still did not normalize, the PD catheter was removed for management of refractory PD-related peritonitis, which was then cured. S. gordonii can form biofilms, suggesting that PD-related peritonitis may develop through the formation of biofilms on the catheter, leading to refractory peritonitis.