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Actinomyces odontolyticus: A Rare Agent of Exit-Site Infection in Peritoneal Dialysis.
Cureus
December 2024
Nephrology, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Exit-site infections (ESIs) of peritoneal dialysis catheters can cause serious complications if not promptly treated. Uncommon pathogens like are infrequently associated with these infections. We report a 26-year-old woman with end-stage renal disease due to Alport syndrome, presenting with recurrent purulent discharge and erythema at the Tenckhoff catheter exit site.
View Article and Find Full Text PDFTreatment of emphysematous polycystic renal infection in patients with autosomal dominant polycystic kidney disease: Feasibility and limitations of percutaneous cyst drainage.
Clin Nephrol Case Stud
December 2024
Nephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Tokyo, Japan.
Emphysematous polycystic renal infection (EPRI) has a poor prognosis with conservative management, and early surgical nephrectomy has been recommended. However, percutaneous cyst drainage may be a possible treatment option. We experienced 6 patients with autosomal dominant polycystic kidney disease (ADPKD) presenting with EPRI.
View Article and Find Full Text PDFNomogram model based on clinical factors and autonomic nervous system activity for predicting residual renal function decline in patients undergoing peritoneal dialysis.
Front Neurosci
November 2024
Department of Nephrology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China.
Article Synopsis
- The study examines the relationship between heart rate variability (HRV) and residual renal function (RRF) in patients on continuous ambulatory peritoneal dialysis (CAPD) to determine if these parameters can predict RRF decline.
- Researchers analyzed clinical data and autonomic nervous system activity from 98 patients and categorized them into two groups based on their 1-year decline in glomerular filtration rate (GFR).
- A nomogram model was developed that combined clinical factors and skin sympathetic nerve activity, showing high accuracy (AUC of 0.940) in predicting RRF decline over one year.
Drug-Related Problems Among Peritoneal Dialysis Patients: A 12-Year Retrospective Cohort Study.
Cureus
September 2024
Department of Nephrology, Hospital Tengku Ampuan Rahimah, Klang, MYS.
Article Synopsis
- This study focuses on drug-related problems (DRPs) among patients on peritoneal dialysis (PD), where there's limited research and understanding about medication issues in this specific group.
- A retrospective analysis involving 562 PD patients revealed that a large proportion (92.5%) experienced at least one DRP, with the majority taking more than 10 medications.
- The types of DRPs identified included suboptimal drug treatment effects, untreated symptoms, and adverse drug events, emphasizing the importance of addressing medication-related challenges to improve patient outcomes.
Article Synopsis
- * A study involving 50 patients with end-stage renal disease measured inflammatory markers (hs-CRP and IL-6), albumin levels, and body mass index before and three months after undergoing dialysis, with results indicating that hs-CRP levels were notably higher in the HD group compared to CAPD.
- * The findings suggest that patients undergoing hemodialysis experience a greater inflammatory burden, as indicated by higher hs-CRP
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