Relapsing Bacillus cereus Peritonitis in Two Patients on Peritoneal Dialysis
Relapsing Bacillus cereus Peritonitis in Two Patients on Peritoneal Dialysis
复制标题
腹膜透析患者复发蜡样芽胞杆菌腹膜炎二例
DOI：
10.1177/089686080202200323
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发表时间：
2002
影响因子：
2.8
通讯作者：
C. Siegert
中科院分区：
文献类型：
--
作者：
S. Pinedo;A. Bos;C. Siegert
持续非卧床腹膜透析(CAPD)最常见和最严重的并发症是腹膜炎(1)。从受感染的腹膜流出物中分离出了许多不同的细菌。负责任的生物体的来源要么是外部定植菌群，要么是内部定殖菌群。前者的例子是按频率顺序排列的表皮葡萄球菌(30%)和金黄色葡萄球菌(约10%)。在后一组中，大肠埃希菌是CAPD腹膜炎约15%的主要病原体(2)。然而，蜡状芽孢杆菌感染几乎没有报道，也没有包括在最近可能的病原体概述中(2)。我们描述了2例CAPD患者发生蜡状芽胞杆菌腹膜炎。即使在充分的抗生素治疗后，细菌仍然复发，在这两个病例中，蜡样芽胞杆菌感染导致更换了CAPD导管。
The most frequent and serious complication of continuous ambulatory peritoneal dialysis (CAPD) is peritonitis (1). Many different bacteria have been isolated from infected peritoneal effluent. The source of the responsible organism is either the external or the internal colonizing flora. Examples of the former group are, in order of frequency, Staphylococcus epidermidis (30%) and Staphylococcus aureus in about 10% of cases. In the latter group, Escherichia coli is a responsible pathogen in about 15% of CAPD peritonitis (2). However, infection with Bacillus cereus has only scarcely been reported and is not included in a recent overview of possible pathogens (2). We describe 2 patients on CAPD who developed B. cereus peritonitis. The bacteria relapsed even after adequate antibiotic therapy and, in both cases, B. cereus infection led to replacement of the CAPD catheter.