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Published on: July 18, 2017
A case of peritoneal dialysis-associated peritonitis caused by Rhodococcus pyridinivorans
Wenjuan Lei1, Chuishun Yang1, Zhen Yang1
1Department of Nephrology and Rheumatology, Haikou People's Hospital, 43 Renmin Road, Haidian Island, Haikou, China.
Background:
Rhodococcus infections are exceedingly rare and largely reported in immunocompromised hosts, with no consensus on optimal therapy due to limited evidence.
Case Presentation:
This article reports for the first time a case of peritoneal dialysis-associated peritonitis caused by Rhodococcus pyridinivorans in a patient with diabetic nephropathy. The dialysate leukocyte count declined substantially with combination antimicrobial therapy, but complete normalization occurred only after replacing icodextrin with a glucose-based dialysate.
Conclusions:
These findings support the use of combination regimens and emphasize the need to consider icodextrin-associated sterile peritonitis when dialysate abnormalities persist despite appropriate antimicrobial treatment.
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Endocarditis I: Introduction
Acute Pyelonephritis I: Introduction
Acute Pyelonephritis II: Diagnostic Studies and Management
Peritoneal Dialysis I: Introduction and Procedure
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Peritoneal Dialysis III: Nursing Management

