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KMID : 0359919930120040711
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Korean Journal of Nephrology
1993 Volume.12 No. 4 p.711 ~ p.714
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A Case of pertonitis Following Colonoscopy in patient on Continuous Ambulatory peritoneal Dialysis
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홍희승
신승준/한병근/김승률/최승옥/이광훈/김향인
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Abstract
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Peritonitis is a well recognized and nmost significant cmplication of peritoneal dialysis. The most common causes of peritonitis are peritoneal catheter-relted intraluminal and expogenous contamination. However, the colon is felt to be a
potential
source of diaysate contamination.
We exerienced a rare case of a 65 year old male patient who dveloped peritonits by gram negative organisms (Serratia marscence) following a colonoscopy with rectal biopsies for evaluation of rectal bleeding. Six hours after hours after the
colonoscopy,
the patient developed diffuse abdominal pai. The dialysate was turbid with 20,000 WBC/㎣ (99% PMN cells) and grew Serratia marscence afcer 2 days. The peritonitis was not improved in spite of proper antibiotics, and, so peritoneal catheter was
removed.
We report case of peritonitis following colonoscopy on CAPD with review of literatures.
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