病例报告: (菌) 导管相关的腹膜透析相关的腹膜炎
Remington E Schmidt1, Megan Bernabe1, Kamran N Azad2
1Dept. of Nephrology, MercyCare, Cedar Rapids, IA, USA.
概括
来自Ulocladium的真菌腹膜炎,这是腹膜透析腹膜炎的罕见原因,已成功治疗. 早期的抗真菌治疗和导管切除改善了患者的治疗结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
背景情况:
- 腹膜透析 (PD) 相关的腹膜炎是PD的重要并发症.
- 真菌PD腹膜炎具有较高的发病率和死亡风险.
- 乌洛克拉是一种有线状真菌,以前没有报告为PD周周炎的原因.
研究的目的:
- 报告一种由Ulocladium引起的PD腹膜炎的独特病例.
- 强调识别和治疗真菌PD腹膜炎的重要性.
主要方法:
- 一个65岁的女性患者的病例报告正在接受PD.
- 记录了临床表现,诊断方法 (废水分析,培养) 和治疗方法 (脂质体安福特里辛B,导管切除).
- 进行了抗真菌敏感性测试.
主要成果:
- 患者在她的PD导管中出现了无症状的黑点,导致诊断为腹膜炎.
- 最初的培养表明无特异性菌,但最终的识别证实了Ulocladium spp.
- 隔离物对安福特里辛B敏感,患者对治疗反应良好,成功恢复PD.
结论:
- 这一案例强调了在相关患者中怀疑真菌PD周周炎的必要性.
- 及时启动全身抗真菌药物和切除PD导管对于在真菌PD周周炎中取得良好结果至关重要.
相关概念视频
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
618
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...
618
Peritoneal Dialysis I: Introduction and Procedure
2.7K
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...
2.7K
Peritoneal Dialysis III: Nursing Management
735
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...
735
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
455
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...
455
Dialysis
1.2K
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
1.2K
Dialysis
1.7K
Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
1.7K


