蜡样芽孢杆菌致腹膜透析相关腹膜炎的临床特点个案报道并文献复习  

Clinical characteristics of Bacillus cereus induced peritoneal dialysis related peritonitis:report of a case and review of the literature

作　　者：郭红霞[1] 孙庆华[1] 史春迎[1] 唐雯[1] GUO Hong-xia;SUN Qing-hua;SHI Chun-ying;TANG Wen(Department of Nephrology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院肾内科,北京100191

出　　处：《中国血液净化》2020年第3期213-215,共3页Chinese Journal of Blood Purification

基　　金：国家自然科学基金项目(编号:30900681);北京大学医信交叉基金(编号:BMU20160584);中华医学会临床医学科研专项资金项目(编号:14050460583)。

摘　　要：目的探讨蜡样芽孢杆菌致腹膜透析相关腹膜炎临床特点。方法回顾性分析1例蜡样芽孢杆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,腹膜透析液培养蜡样芽孢杆菌,延长敏感抗生素治疗疗程,腹膜炎治愈。蜡样芽孢杆菌所致腹膜炎多为污染所致,敏感抗生素治疗可以治愈,但易复发,必要时需拔除腹膜透析管。结论蜡样芽孢杆菌是导致腹膜透析相关腹膜炎的少见的病原体,需要及时识别并合理治疗。Objective To investigate clinical characteristics of peritoneal dialysis related peritonitis(PDRP)caused by Bacillus cereus.Methods The clinical data of a patient diagnosed as PDRP caused by a rare pathogen of Bacillus cereus was retrospectively analyzed.The related literature was reviewed.Results This patient experienced series episodes of PDRP and finally Bacillus cereus was isolated in peritoneal fluid.The PDRP was cured by prolonged treatment of sensitive antibiotics.Bacillus cereus caused PDRP mainly by pollution.It can be cured by effective antibiotics.However,relapse or repeat peritonitis was common,and removal of the catheter was considered to be an option for treatment.Conclusion Although rare to be seen,clinicians should be aware of Bacillus cereusas as the pathogen of PDRP.Appropriate treatment is useful to improve the patient’s outcome.

关 键 词：蜡样芽孢杆菌 腹膜透析相关性腹膜炎 持续非卧床腹膜透析 

分 类 号：R378.99[医药卫生—病原生物学]