AI Article Synopsis
- Peritoneal dialysis (PD) is a highly effective treatment for patients with end-stage renal disease (ESRD), with over 10,000 patients in the U.S. benefiting from it.
- PD tends to yield better outcomes than hemodialysis in the initial two years of ESRD, although it comes with risks like peritonitis, which can complicate treatment.
- This report details a case where a PD patient experienced gastrointestinal bleeding after several medical procedures without receiving antibiotic prophylaxis, leading to an infection known as CDC group EO-4 organism and fungal peritonitis.
Article Abstract
Peritoneal dialysis (PD) is an excellent form of renal replacement therapy for many patients with end-stage renal disease (ESRD). Over 10,000 patients receive PD in the United States [United States Renal Data System: 2015]. PD has superior outcomes compared to hemodialysis in the first 2 years of ESRD [Sinnakirouchenan and Holley: Adv Chronic Kidney Dis 2011;18: 428-432]. However, peritonitis is a known complication and may result in significant morbidity and necessitate transition to hemodialysis, which increases medical costs [Holley and Piraino: Semin Dial 1990;3: 245-248]. We report the first case of a PD patient who underwent endoscopy, colonoscopy and CT angiogram with coil embolization for gastrointestinal bleeding without antibiotic prophylaxis and subsequently developed CDC group EO-4 organism and fungal peritonitis.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5216208 | PMC |
| http://dx.doi.org/10.1159/000452201 | DOI Listing |
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