胎儿弯曲杆菌致腹膜透析相关性腹膜炎1例并文献复习  

Peritoneal dialysis-related peritonitis caused by Campylobacter fetus:a case report and literature review

作　　者：李惠施 刘笑芬[1] 谢超[1] 梁子介[1] 叶佩仪[1] 孔耀中[1] Li Huishi;Liu Xiaofen;Xie Chao;Liang Zijie;Ye Peiyi;Kong Yaozhong(Department of Nephrology,the First People's Hospital of Foshan,Foshan 528000,China)

机构地区：[1]佛山市第一人民医院肾内科,佛山528000

出　　处：《中华肾脏病杂志》2023年第7期536-538,共3页Chinese Journal of Nephrology

摘　　要：该文报道胎儿弯曲杆菌(Campylobacter fetus)致腹膜透析相关性腹膜炎1例,该患者为中年男性,因“慢性肾小球肾炎,慢性肾脏病5期”规律进行腹膜透析治疗6年,因腹痛、透出液浑浊7 d入院。患者腹膜透出液培养为阴性,病原宏基因组学检测提示胎儿弯曲杆菌,使用阿米卡星留腹抗感染效果欠佳,需拔除腹膜透析导管转血液透析治疗,继续予罗红霉素口服抗感染治疗至4周,患者好转出院。This paper reports a case of peritonitis caused by Campylobacter fetus in a continuous ambulatory peritoneal dialysis(CAPD)patient.The patient was a middle-aged man,with chronic kidney disease stage 5 secondary to chronic glomerulonephritis,and had been on CAPD for 6 years.He was admitted to our department with a 7 day history of abdominal pain and cloudy effluent.Peritoneal effluent culture was negative and metagenomic next-generation sequencing suggested Campylobacter fetus.Intraperitoneal treatment with amikacin was failed.Peritoneal dialysis catheter was removed and hemodialysis treatment was performed.After treatment of erythromycin oral for 4 weeks,the patient's symptoms was improved and discharged.

关 键 词：胎儿弯曲杆菌 腹膜透析 腹膜炎 

分 类 号：R714.5[医药卫生—妇产科学]