鹑鸡肠球菌致腹膜透析相关性腹膜炎1例并文献复习

Peritoneal dialysis associated peritonitis caused by Enterococcus gallinarum: a case report and literature review

    摘要
  • 摘要:
    目的 探讨鹑鸡肠球菌致腹膜透析相关性腹膜炎的临床特点。
    方法 回顾性分析1例鹑鸡肠球菌致腹膜透析相关腹膜炎的临床资料, 并文献复习。
    结果 本例患者反复发作腹膜透析相关腹膜炎, 腹膜透析液培养致病菌为鹑鸡肠球菌, 两种抗菌药物足疗程联合应用腹膜炎治愈。鹑鸡肠球菌所致腹膜炎较为罕见, 易复发且预后不良, 必要时需拔除腹膜透析管。
    结论 鹑鸡肠球菌是导致腹膜透析相关性腹膜炎的少见条件致病菌, 指南经验性治疗方案未能覆盖此病原体, 需及早识别并合理治疗。

     

    Abstract:
    OBJECTIVE To investigate the clinical characteristics of peritoneal dialysis associated peritonitis (PDAP) caused by Enterococcus gallinarum.
    METHODS The clinical data of a patient diagnosed as PDAP caused by a rare pathogen of Enterococcus gallinarum was retrospectively analyzed, and the related literatures was reviewed.
    RESULTS In this case, the patient had recurrent PDAP, and the causative organism was Enterococcus gallinarum on culture of the peritoneal dialysis fluid, and the PDAP was cured by the combination of two sensitive antibiotics in a full course of treatment. The PDAP caused by Enterococcus gallinarum was rare, easy to recur, and had a poor prognosis, if necessary, the peritoneal dialysis tube needed to be removed.
    CONCLUSION Enterococcus gallinarum was a rare opportunistic pathogen causing PDAP, and the empirical treatment plan in the guidelines failed to cover this pathogen, requiring early identification and rational treatment.

     

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