A Rare Cause of Automated Peritoneal Dialysis-Related Peritonitis: Aeromonas caviae / 대한내과학회지
Korean Journal of Medicine
;
: 438-441, 2013.
Article
in Korean
| WPRIM
| ID: wpr-117707
ABSTRACT
Peritonitis is a major cause of morbidity in peritoneal dialysis patients; however, Aeromonas caviae rarely causes peritonitis in these patients. We report peritonitis due to A. caviae in a 72-year-old male with end-stage renal failure who had been undergoing automated peritoneal dialysis for 1 year. The white blood cell (WBC) count in the peritoneal fluid was 2,722/mm3 with 85% neutrophils. Gram staining of the peritoneal fluid yielded Gram-negative rods. Empirical antibiotic therapy with ceftriaxone was initiated intraperitoneally. However, drug sensitivity testing revealed that the organism was resistant. On the third hospital day, A. caviae was cultured from the peritoneal effluent, and the antibiotic regimen was switched to ciprofloxacin. The patient recovered rapidly and the WBC count of the peritoneal effluent decreased. He was discharged and the intraperitoneal ciprofloxacin therapy was continued for 14 days. The peritoneal catheter was not removed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Ceftriaxone
/
Ascitic Fluid
/
Ciprofloxacin
/
Peritoneal Dialysis
/
Aeromonas
/
Aeromonas caviae
/
Catheters
/
Guinea Pigs
/
Kidney Failure, Chronic
Limits:
Animals
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2013
Type:
Article
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