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Streptococcus agalactiae: a rare peritoneal infection in a continuous ambulatory peritoneal dialysis patient
Carlos Abaeté de Los Santos1, Ana Elizabeth Prado Lima Figueiredo, Carlos Eduardo Poli-de-Figueiredo
1Programa de Pós- graduação em Medicina e Ciências da Saúde (Nefrologia)/Faculdade de Medicina/IPB/HSL from Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil. abaeté@pucrs.br
Abstract:
Streptococcus agalactiae causes a rare and often fatal peritonitis in continuous ambulatory peritoneal dialysis (CAPD). A 52-year-old white female with Alport and chronic kidney disease was initiated on CAPD treatment. Nineteen months later she had a S. agalactiae peritonitis identified and received initially gentamicin-cephalothin, which was changed to ceftazidime, tobramycin, and vancomycin. Recovery started after peritoneal catheter removal. After 3 weeks, severe leucopenia occurred. Granulokine and steroids were given. Six weeks later, she felt well and an abdominal video laparoscopic procedure disclosed a diffuse peritoneal fibrosis, precluding CAPD resumption. She is now doing well on hemodialysis (HD).
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