リステリア・モノサイトゲネスによる腹膜透析関連腹膜炎の再発の奏功例：症例報告

Peritoneal dialysis-associated peritonitis caused by Listeria monocytogenes (LM) is a rare occurrence among peritoneal dialysis patients. It can be induced by an contaminated diet and lacks characteristic clinical manifestations. We present a case of recurrent peritonitis caused by LM. The patient an aged male, had a history of four years of peritoneal dialysis with diabetic kidney disease, high blood pressure, heart failure, chronic hepatitis B, and syphilis. The patient ingested food contaminated with monocyte listeria and had repeated symptoms of peritoneal cloudy, diarrhoea, abdominal pain, chills and fever. The efficacy of Cefazolin sodium combined with Ceftazidime is poor. Finally, its successful treatment included a combination of Vancomycin, Amikacin, and Piperacillin Tazobactam.