Peritonitis Caused by Chryseobacterium meningosepticum in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis

腹膜透析病人感染Chryseobacterium meningosepticum 腹膜炎

吳允升(Vin-Cent Wu) ； 蔡敦仁(Tun-Jun Tsai) ； 王偉傑(Robert Wang) ； 薛博仁(Po-Ren Hsueh)

《Journal of the Formosan Medical Association》 102卷4期 (2003/04) Pp. 270-272

https://doi.org/10.29828/JFMA.200304.0012

並列摘要

Abstract: Chryseobacterium meningosepticum is rarely encountered ad a pathogen causing peritonitis in adults. A 54-year-old woman who underwent continuous ambulatory peritoneal dialysis for 8 year developed peritonitis due to C. meningosepticum. Although she received intravenous antibiotics with good in vitro activity against the organism, the fever and signs of peritonitis persisted. The Tenckhoff catheter was finally removed on the 25th day of hospitalization and the fever subsided. Four isolates of C. meningosepticum recovered from 4 ascites samples drawn on the third, 13th, 18th, and 23rd hospitalization days had identical antibiograms and random amplified DNA polymorphism patterns generated by an arbitrarily primed polymerase chain reaction. Early removal of Tenckhoff catheter and appropriate antimicrobial therapy are crucial to the successful treatment of peritonitis due to C. meningosepticum.

並列關鍵字

Catheter ； indwelling ； Flavobacterium ； Peritoneal dialysis ； continuous ambulatory ； Peritonitis ； Random amplified polymorphic DNA technique