A 63-year-old woman undergoing peritoneal dialysis (PD) presented to our hospital with abdominal pain, diarrhea, and cloudy PD effluent. An elevated white blood cell count in the PD effluent led to a diagnosis of PD-associated peritonitis. She was subsequently started on intraperitoneal cefazolin and ceftazidime, after which her condition improved rapidly. The peritonitis resolved after 21 days of therapy, with no subsequent relapse. Centrifuged PD effluent samples identified as the causative organism. Reports of PD-associated peritonitis caused by are rare, with reported adult cases requiring PD catheter removal due to relapse. In contrast, this case was successfully resolved without catheter removal. The increasing use of advanced technologies, such as matrix-assisted laser desorption/ionization time-of-flight mass spectrometry, is expected to lead to more reports of -associated PD peritonitis in the future. Although biofilm formation by is known to increase the risk of recurrent peritonitis, this case suggests that catheter removal may not always be necessary.
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http://dx.doi.org/10.7759/cureus.74856 | DOI Listing |
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Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Study Design: Retrospective study.
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Department of Cardiology, Turku University Hospital, Turku, Finland.
Background: Vascular and bleeding complications remain a concern after transfemoral transcatheter aortic valve replacement (TAVR). The impact of the sheath type on these complications remains unclear.
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BMC Nephrol
January 2025
Division of Nephrology, Department of Internal Medicine, Faculty of Health Sciences, University of the Free State, 205 Nelson Mandela Drive, Bloemfontein, 9300, South Africa.
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Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Faculty of Medicine, Université Laval, Québec City, Canada.
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