长奈瑟菌导致腹膜透析相关性腹膜炎1例暨文献复习  

Peritoneal dialysis-related peritonitis caused by Neisseria elongata:a case report and literature review

作　　者：李玉敏 张云芳 Li Yumin;Zhang Yunfang(Department of Nephrology,Huadu Hospital Affiliated to Southern Medical University(Huadu District People's Hospital of Guangzhou),Guangzhou 510800,China)

机构地区：[1]南方医科大学附属花都医院(广州市花都区人民医院)肾病学科,广州510800

出　　处：《中华肾脏病杂志》2023年第8期628-629,共2页Chinese Journal of Nephrology

基　　金：广州市医学重点学科建设项目(2021-2023)。

摘　　要：长奈瑟菌(Neisseria elongata)是人体口咽部正常的菌群,是一种条件致病的革兰阴性球杆菌,罕见其致病性的报道,国内报道在少数情况下可以导致败血症、骨髓炎和感染性心内膜炎,国内外有少量其他奈瑟菌属导致腹膜炎的报道。该文报道长奈瑟菌致腹膜炎1例并文献复习,该患者初始使用头孢他啶联合头孢唑林每晚留腹过夜治疗3 d,效果欠佳,后续腹膜透析液培养结果提示长奈瑟菌,结合药敏试验更换为左氧氟沙星治疗后治愈出院,希望引起临床工作者对奈瑟菌致病性的重视。Neisseria elongata is a normal group of bacteria in human oropharynx and a kind of gram-negative bacillus that cause disease,and its pathogenicity is rarely reported in China.In a few cases,it can cause septicemia,osteomyelitis and infective endocarditis.There are a few reports of other Neisseria causing peritonitis at home and abroad.The paper reported a case of Neisseria elongata-caused peritonitis and reviewed the literature.The patient was initially treated with ceftazidime combined with cefzolin overnight for 3 days,but the effect was not good.The subsequent peritoneal dialysis fluid culture results indicated Neisseria elongata,and the patient was cured and discharged after treatment with levofloxacin combined with drug sensitivity test,hoping to attract clinical workers'attention to the pathogenicity of Neisseria.

关 键 词：延长奈瑟球菌 腹膜透析 腹膜炎 

分 类 号：R572.2[医药卫生—消化系统]