| A Case of Continuous Ambulatory Peritoneal Dialysis Peritonitis Due to Brevundimonas vesicularis |
| Seong Dong Kwak, M.D., Sung Yeol Choi, M.D., Jae Young Park, M.D., Ju Kyeon Yim, M.D., Jae Hong Chun, M.D., Tae Woo Kim, M.D., and Bo Jung Seo, M.D. |
| Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea |
| 증례 : 복막 투석 환자에서 Brevundimonas vesicularis에
의한 복막염 1예 |
| 곽성동, 최성열, 박재영, 임주견, 천재홍, 김태우, 서보정 |
| 왈레스 기념 침례병원 내과 |
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| Abstract |
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A 53-year-old male was hospitalized with abdominal pain and turbid peritoneal fluid. He was diagnosed with hypertension, diabetic nephropathy and started continuous ambulatory peritoneal dialysis (CAPD) 4 years ago. Initial peritoneal fluid analysis demonstrated CAPD peritonitis. As initial antibiotic therapy, ceftazidime/vancomycin were injected intraperitoneally. But drug sensitivity test revealed these regimens were ineffective. On sixth hospital day, Brevundimonas vesicularis (B. vesicularis) was cultured from peritoneal fluid, this strain was susceptible to imipenem, piperacillin and resistant to ceftazidime. Accordingly we changed the antibiotics to imipenem, which was administered for 14 days, but analysis of peritoneal fluid was seldom improved. Finally, CAPD catheter was removed, and hemodialysis was started. After CAPD catheter removal, peritonitis improved rapidly.
B. vesicularis is a rare opportunistic organism in CAPD peritonitis. Because this peritonitis may not improve in spite of medical treatment with susceptible antibiotics, CAPD catheter must be removed finally. |
| Key Words:
Pseudomonas, Continuous ambulatory peritoneal dialysis, Peritonitis |
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