一例由Streptococcus gordonii引起的与腹膜透析相关的耐火性腹膜炎
Kenta Torigoe1, Yoshie Yamashita1, Ayuko Yamashita1
1Department of Nephrology, Nagasaki University Hospital, Nagasaki, JPN.
Cureus
|February 10, 2025
概括
腹膜透析 (PD) 患者的腹膜炎可能具有挑战性治疗. 这一案例凸显了Streptococcus gordonii生物膜在PD导管上形成,导致耐火性周周炎,需要导管去除以治愈.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 腹腔透析 (PD) 是对末期脏疾病的常见治疗方法.
- 与PD相关的腹膜炎是一种严重的并发症,可能导致治疗失败.
- 耐火性腹膜炎的病例需要对致病因子和机制进行仔细调查.
研究的目的:
- 报告一种由Streptococcus gordonii引起的耐火性PD相关腹膜炎病例.
- 探索生物膜形成在耐火性PD周周炎的发病过程中的潜在作用.
主要方法:
- 一个82岁的女性PD患者的临床病例介绍.
- 对白细胞计数和微生物培养的腹腔内排水的分析.
- 治疗干预措施包括抗生素和PD导管切除.
主要成果:
- 对于疑似细菌性腹膜炎的初始抗生素治疗是无效的.
- 腹腔周围污水培养物鉴定出了Streptococcus gordonii. 这种病原体是有毒的.
- 周周炎只有在PD导管切除后才能消失.
结论:
- 甲状腺球菌可导致耐火性PD相关的腹膜炎.
- 在PD导管上由S. gordonii形成的生物膜可能导致治疗耐药性.
- 对于治疗耐火性S. gordonii周周炎,可能需要切除PD导管.
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