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Brucella Peritonitis in a Patient on Peritoneal Dialysis: Case Report and Literature Review

Qingyu Niu1, Huiping Zhao2, Meifang Chen3

  • 1Department of Nephrology, Peking University People's Hospital, Beijing, China.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|October 14, 2018
PubMed

Insights

Brucella peritonitis is a rare complication of peritoneal dialysis (PD). This case highlights successful treatment with antibiotics and catheter retention, offering insights for managing this infection.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Microbiology

Background:

  • Peritonitis is a frequent complication in patients undergoing peritoneal dialysis (PD).
  • Brucella species causing PD-related peritonitis are exceptionally rare, with only seven previous cases reported.
  • Prompt diagnosis and effective management are crucial for patient outcomes.

Observation:

  • A case of Brucella peritonitis in a peritoneal dialysis patient is presented.
  • The patient received a combination of intraperitoneal and prolonged oral antibiotic therapy.
  • The peritoneal dialysis catheter was successfully retained throughout treatment.

Findings:

  • Successful treatment of Brucella peritonitis was achieved without the need for PD catheter removal.
  • Intraperitoneal and prolonged oral antibiotics proved effective in eradicating the Brucella infection.
  • This case adds to the limited clinical experience with Brucella peritonitis in PD patients.

Implications:

  • The findings suggest that PD catheter removal may not always be necessary for treating Brucella peritonitis.
  • This case provides valuable clinical experience for diagnosing and managing Brucella peritonitis in PD patients.
  • Recommendations for the diagnosis and treatment of Brucella PD-related peritonitis are proposed based on cumulative literature.
Keywords:
ChinaPD-related peritonitis

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