期刊
RENAL FAILURE
卷 32, 期 9, 页码 1123-1124出版社
TAYLOR & FRANCIS LTD
DOI: 10.3109/0886022X.2010.504909
关键词
CAPD; hemodialysis; Streptococcus agalactiae peritonitis
Streptococcus agalactiae causes a rare and often fatal peritonitis in continuous ambulatory peritoneal dialysis ( CAPD). A 52-year-old white female with Alport and chronic kidney disease was initiated on CAPD treatment. Nineteen months later she had a S. agalactiae peritonitis identified and received initially gentamicin-cephalothin, which was changed to ceftazidime, tobramycin, and vancomycin. Recovery started after peritoneal catheter removal. After 3 weeks, severe leucopenia occurred. Granulokine and steroids were given. Six weeks later, she felt well and an abdominal video laparoscopic procedure disclosed a diffuse peritoneal fibrosis, precluding CAPD resumption. She is now doing well on hemodialysis (HD).
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