Document Detail

Unusual causes of peritonitis in patients undergoing continuous peritoneal dialysis with emphasis on Listeria monocytogenes.
MedLine Citation:
PMID:  1482749     Owner:  NLM     Status:  MEDLINE    
Peritonitis remains a significant cause of morbidity in ESRD patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Staphylococcus species, Streptococcus species, and less commonly, gram-negative rods comprise the majority of isolated organisms. Other organisms, including unusual bacteria, fungi, and mycobacteria, comprise 5% or less of cases. Many of the uncommon causes of CAPD peritonitis have been reviewed, with special emphasis on antimicrobial therapy and whether catheter removal was required. The presumed third case of CAPD-associated peritonitis caused by Listeria monocytogenes is also described. In contrast to two other reported cases, our patient was not overtly immunosuppressed. L. monocytogenes infection should therefore be considered in CAPD patients with gram-positive rod peritonitis, even if immunocompetence is presumed.
N M Lunde; J M Messana; R D Swartz
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of the American Society of Nephrology : JASN     Volume:  3     ISSN:  1046-6673     ISO Abbreviation:  J. Am. Soc. Nephrol.     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1993-02-16     Completed Date:  1993-02-16     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  9013836     Medline TA:  J Am Soc Nephrol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1092-7     Citation Subset:  IM    
Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor 48109-0364.
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MeSH Terms
Ampicillin / therapeutic use
Bacterial Infections
Disease Susceptibility
Drug Therapy, Combination / therapeutic use
Glomerulonephritis / complications,  therapy
Kidney Transplantation
Listeria Infections / drug therapy,  etiology*
Peritoneal Dialysis, Continuous Ambulatory / adverse effects*,  utilization
Peritonitis / drug therapy,  etiology,  microbiology*
Postoperative Complications / microbiology
Tobramycin / therapeutic use
Reg. No./Substance:
32986-56-4/Tobramycin; 69-53-4/Ampicillin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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