案例报告:由布鲁塞拉引起的腹膜透析相关腹膜炎
Shu-Fang Pan1,2, Munire Abulizi3,4, Adili Sawuti2
1Department of Infectious Diseases, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Frontiers in medicine
|December 22, 2025
概括
布鲁塞拉腹膜炎是腹膜透析患者的罕见并发症. 诊断需要在腹腔液中增加白细胞和阳性布鲁塞拉培养物,可以用抗生素治疗而不需要取出导管.
科学领域:
- 传染性疾病 传染性疾病
- 腎臟病學 (nephrology) 是一種醫學專業.
- 微生物学 微生物学
背景情况:
- 布鲁塞拉可以引起腹膜炎,这是一个罕见的并发症,特别是在腹膜透析患者身上.
- 这项研究侧重于围透析患者Brucella围炎的临床特征.
研究的目的:
- 在接受腹腔透析的患者中分析布鲁塞拉腹腔炎的临床特征.
- 为临床诊断和治疗这种疾病提供参考.
主要方法:
- 在腹膜透析患者中对三例布鲁塞拉腹膜炎的回顾性分析.
- 收集的数据包括人口统计,流行病史,临床表现,实验室发现和治疗结果.
主要成果:
- 所有患者都有与动物接触或食用生牛奶的病史.
- 关键症状包括腹部疼痛和张,白细胞数量低,C反应蛋白升高.
- 布鲁塞拉是从腹排水中培养的,该排水显示白细胞增加,单核细胞占主导地位.
结论:
- 腹膜透析患者的布鲁塞拉腹膜炎表现为腹部疼痛,需要基于腹膜液分析 (白细胞,单细胞和布鲁塞拉培养物) 的诊断.
- 至少六周的多西环素和利芬素治疗是有效的,不需要取出导管.
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