关键词: Neisseria elongata bacterial infection peritoneal dialysis–related peritonitis rare presentation

来  源:   DOI:10.1097/MS9.0000000000000018   PDF(Pubmed)

Abstract:
Peritoneal dialysis (PD) can result in peritonitis, which frequently causes severe and near-fatal clinical implications if left untreated. Usually, gram-positive bacteria are the most common organisms involved. Uncommonly recognized as the cause of peritonitis in PD patients, Neisseria elongata is a gram-negative nasal and oropharyngeal normal flora organism.
UNASSIGNED: We report a rare case of a 29-year-old man who had received automated PD for 6 years and had N. elongata peritonitis.
UNASSIGNED: Several case reports of Neisseria-related peritonitis may point to the potential pathogenicity of such organisms and suggest that many cases of culture-negative peritonitis may have been misdiagnosed. Poor nutrition and chronic kidney disease have been suggested as potential risk factors for N. elongata peritonitis, both of which are present in our patient. With appropriate antibiotic use, most of the cases respond well to empirical treatment.
UNASSIGNED: Although rare, N. elongata can lead to PD catheter. peritonitis that, in some cases, require changing to hemodialysis.
摘要:
腹膜透析(PD)可导致腹膜炎,如果不及时治疗,通常会导致严重和几乎致命的临床意义。通常,革兰氏阳性菌是最常见的微生物。不常被认为是PD患者腹膜炎的原因,长隆奈瑟球菌是一种革兰氏阴性的鼻和口咽正常菌群。
UNASSIGNED:我们报告了一例罕见的29岁男性患者,他接受了6年的自动PD治疗,患有N.elongata腹膜炎。
UNASSIGNED:几例奈瑟菌相关性腹膜炎的病例报告可能指出此类生物的潜在致病性,并提示许多培养阴性腹膜炎病例可能被误诊。营养不良和慢性肾脏疾病被认为是长腹膜炎的潜在危险因素。两者都存在于我们的病人身上。通过适当的抗生素使用,大多数病例对经验治疗反应良好。
未经评估:虽然罕见,延伸N.可导致PD导管。腹膜炎,在某些情况下,需要换血液透析.
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