Document Detail


Aeromonas hydrophila as a causative organism in peritoneal dialysis-related peritonitis: case report and review of the literature.
MedLine Citation:
PMID:  21269597     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Most episodes of peritoneal dialysis (PD)-related peritonitis could be attributed to a single organism, but in almost 10% of peritonitis episodes multiple organisms are identified. Polymicrobial peritonitis is often related to intra-abdominal pathology, and the prognosis may be poor. Aeromonas spp. have rarely been identified as the causative pathogen in PD-related peritonitis, and a very small number of cases has been reported in the literature. These rod-shaped, gram-negative microorganisms have been isolated from wastewater drainage systems, food, vegetables, and soil. Herein we report a case of polymicrobial peritonitis in a continuous ambulatory peritoneal dialysis (CAPD) patient with systemic lupus erythematosus (SLE), due to a combination of Streptococcus viridans and Aeromonas hydrophila infection. The patient was involved in gardening and was not compliant with her technique protocol. She did not wear a mask and omitted thorough hand washing. The patient was treated with i.p. vancomycin and ceftazidime and peritonitis was resolved. The patient's technique was reassessed, and she was restrained by our PD nurses.
Authors:
V Liakopoulos; S Arampatzis; P Kourti; T Tsolkas; S Zarogiannis; T Eleftheriadis; M Giannopoulou; I Stefanidis
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Clinical nephrology     Volume:  75     ISSN:  0301-0430     ISO Abbreviation:  -     Publication Date:    2011 Sup
Date Detail:
Created Date:  2011-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  65-68     Citation Subset:  -    
Affiliation:
Department of Nephrology, School of Medicine, University of Thessaly, Larissa, Greece.
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