由于Nocardia farcinica引起的腹膜透析相关的腹膜炎:一个病例报告
Mieko Tokano1,2, Norihito Tarumoto1, Hisashi Furukawa3
1Department of Infectious Disease and Infection Control, Saitama Medical University, 38 Morohongo, Moroyama, Saitama 350-0495, Japan.
IDCases
|October 2, 2025
概括
心病可以引起罕见的腹膜透析相关的腹膜炎. 及时识别和延长抗微生物治疗,包括避免SMX/TMP单一治疗,对于患者的治疗结果至关重要.
科学领域:
- 医学微生物学 医学微生物学
- 传染性疾病 传染性疾病
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 没有心脏病 spp. 是无处不在的格拉姆阳性细菌,导致各种感染.
- 由于Nocardia spp.引起的腹膜炎. 这种情况不常见,特别是在腹透析患者中.
- 糖尿病病是腹膜透析的常见指示.
研究的目的:
- 报告一种罕见的腹膜透析相关的腹膜炎病例,其原因是Nocardia farcinica.
- 以突出诊断挑战和治疗策略的诺卡迪亚腹膜炎.
- 强调物种级别鉴定和适当的抗微生物治疗的重要性.
主要方法:
- 一个53岁的女性接受腹膜透析的案例报告.
- 使用格拉姆染色,MALDI-TOF MS和下一代测序来识别诺卡迪亚物种.
- 治疗包括取出导管,血液透析和长时间的静脉注射和口服抗生素.
主要成果:
- 诺卡迪亚法西尼卡被确定为腹膜炎的致病原体.
- 隔离物对包括SMX/TMP在内的多种抗微生物药物表现出敏感性.
- 患者接受了大约六个月的广泛抗菌药物治疗.
结论:
- 心病可以导致严重的腹膜透析相关的腹膜炎.
- 早期诊断,源控制 (导管切除) 和长时间的抗菌疗法是必不可少的.
- 由于潜在的耐药性,应避免在经验治疗中使用SMX/TMP单疗法.
相关概念视频
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
549
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
549
Peritoneal Dialysis III: Nursing Management
665
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
665
Acute Pyelonephritis II: Diagnostic Studies and Management
318
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
318
Peritoneal Dialysis I: Introduction and Procedure
2.4K
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
2.4K
Acute Pyelonephritis I: Introduction
493
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
493
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
405
Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
405

