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Published on: July 20, 2022
Vancomycin-resistant enterococci peritonitis development after shifting from hemodialysis to peritoneal dialysis
Chih-Ming Chang1, Chih-Chia Liang, Hung-Chieh Yeh
1Department of Medicine, Division of Nephrology and Kidney Institute, China Medical University Hospital, Taichung, Taiwan.
Abstract:
Although hemodialysis (HD) patients could develop vancomycin-resistant enterococci (VRE) infection, limited studies of VRE-related peritoneal dialysis (PD) peritonitis have been reported. Here, we document a patient who developed peritonitis for the first time with VRE infection after shifting from HD to PD over 4 weeks. We suggest that physicians consider VRE a possible cause of PD peritonitis in patients who have recently shifted from HD to PD, especially in cases involving previous vancomycin exposure.
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Dialysis
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...

