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논문분류 춘계학술대회 초록집
제목 Recurrent Peritonitis Caused by Serratia Marcescens in a Non-diabetic Patient Receiving Continuous Ambulatory Peritoneal Dialysis
저자 Gyoung-Hoon Kang1, Ye Na Kim1, Ho Sik Shin1, Yeon Soon Jung1, Hark Rim1, Hyun Yul Rhew2
출판정보 2014; 2014(1):
키워드 복막투석, 복막염, 세라티아
초록 We report a case of Serratia marcescens peritonitis in a 17-year-old man with hypertension undergoing continuous ambulatory peritoneal dialysis (CAPD). The patient presented with abdominal pain and cloudy dialysate. Empiric antibiotic therapy was initiated intraperitoneally with cefazolin and 3rd cephalosporine for 3 days. Cultures of the dialysate revealed S. marcescens, and the treatment was subsequently changed to ceftazidime. The patient’s abdominal pain and the dialysate white blood cell (WBC) count, and, did improve. After Intraperitoneally antibiotics was prescribed for 3 weeks, CAPD peritonitis was cured. But, recurrent peritonitis caused by Serratia marcescens was developed and the indwelling CAPD catheter was therefore removed. This is an unusual case report in the Korean literature of S. marcescens peritonitis in a non-diabetic patient receiving CAPD.
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