由 listeria monocytogenes 引起的与腹膜透析相关的复发性腹膜炎的成功解决:一个病例呈现
Sharoui Wu1, Xiujuan Wu2, Yanru Yang2
12nd Year MBBS Student, School of Medicine, Shaoxing University.
JPMA. The Journal of the Pakistan Medical Association
|December 19, 2025
概括
在腹腔透析患者中,Listeria monocytogenes (LM) 腹腔炎是罕见的,通常来自受污染的食物. 这一案例突出了使用万科米辛,阿米卡辛和皮佩拉西林塔佐巴克坦的成功治疗.
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:
- 腹膜透析相关的腹膜炎 (PDAP) 是一个严重的并发症.
- 李斯特菌 (Listeria monocytogenes,LM) 是PDAP的一个不常见的原因,通常与饮食来源有关.
- 膜炎可能伴有非特异性症状,使诊断复杂化.
研究的目的:
- 在腹腔透析患者中报告一种罕见的Listeria monocytogenes腹腔炎复发病例.
- 讨论LM膜炎的诊断挑战和治疗策略.
- 强调在PDAP病因学中考虑饮食来源的重要性.
主要方法:
- 一位老年男性腹膜透析患者的病例介绍,患有复发性腹膜炎.
- 对临床表现的审查,包括腹痛,腹,阴云透析剂,寒和发烧.
- 分析不同抗生素治疗方案的治疗结果.
主要成果:
- 患者经历了归因于Listeria monocytogenes的复发性周周炎,可能来自受污染的食物摄入.
- 最初使用塞法索林和塞法胺的治疗无效.
- 使用万科米辛,阿米卡辛和Piperacillin Tazobactam的组合获得了成功的解决方案.
结论:
- 复发性LM腹膜炎是腹膜透析中的罕见但严重的并发症.
- 迅速和适当的抗生素治疗对于成功管理至关重要.
- 组合治疗包括万科米辛,阿米卡辛和皮佩拉西林塔佐巴克坦在这个具有挑战性的病例中证明有效.
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