谢瓦内拉藻引起的腹膜透析相关的复发性腹膜炎:一个病例报告
Jiawei Tang1, Nana Luo2, Yiming Zhang2
1Clinical Medical College, Jining Medical University, Jining, Shandong, China.
Frontiers in medicine
|November 19, 2025
概括
一个罕见的,由Shewanella藻类引起的腹膜透析相关的复发性腹膜炎病例得到了成功的治疗. 高度抗生素锁定疗法有效地根除了感染,防止了这个腹膜透析患者的复发.
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:
- 腹膜透析 (PD) 相关的腹膜炎是一种常见的并发症.
- 复发性周周炎在PD管理中构成了重大挑战.
- 在PD患者中很少报告Shewanella藻类感染.
研究的目的:
- 在PD患者中报告由Shewanella藻类引起的复发性周周炎病例.
- 为了评估高度抗生素锁治疗这种罕见感染的疗效.
- 讨论生物膜在Shewanella藻类周周炎的复发性质中的潜在作用.
主要方法:
- 病例报告详细介绍了临床表现,诊断和治疗.
- 用于病原体识别的阿西特斯液体培养.
- 在导管内灌注抗生素 (甘胺硫酸盐) 用于治疗.
- 临床和微生物学后续评估治疗反应和复发.
主要成果:
- 患者出现了复发性腹膜炎症状,包括腹痛和阴的PD液.
- 谢瓦内拉藻被确定为阿斯文化中的致病因子.
- 通过导管内抗生素灌注,用高度的甘胺硫酸治疗导致感染完全消失.
- 在随访期间没有观察到腹膜炎的复发.
结论:
- 谢瓦内拉藻可以在PD患者中引起罕见但具有挑战性的复发性周周炎.
- 在PD导管内形成的细菌生物膜可能会导致感染的复发性.
- 高度抗生素锁定疗法是Shewanella藻类诱导的复发性PD周周炎的有效治疗策略.
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