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KMID : 0359920090280040365
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Korean Journal of Nephrology
2009 Volume.28 No. 4 p.365 ~ p.369
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A Case of Continuous Ambulatory Peritoneal Dialysis Peritonitis Due to Brevundimonas vesicularis
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Kwak Sung-Dong
Choi Sung-Youl
Park Jae-Young
Im Ju-Kyeon
Cheon Jae-Hong
Kim Tae-Woo
Seo Bo-Jung
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Abstract
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A 53-year-old male was hospitalized with abdominal pain and turbid peritoneal fluid. He was diagnosed with hypertension, diabetic nephropathy and started continuous ambulatory peritoneal dialysis (CAPD) 4 years ago. Initial peritoneal fluid analysis demonstrated CAPD peritonitis. As initial antibiotic therapy, ceftazidime/vancomycin were injected intraperitoneally. But drug sensitivity test revealed these regimens were ineffective. On sixth hospital day, Brevundimonas vesicularis (B. vesicularis) was cultured from peritoneal fluid, this strain was susceptible to imipenem, piperacillin and resistant to ceftazidime. Accordingly we changed the antibiotics to imipenem, which was administered for 14 days, but analysis of peritoneal fluid was seldom improved. Finally, CAPD catheter was removed, and hemodialysis was started. After CAPD catheter removal, peritonitis improved rapidly. B. vesicularis is a rare opportunistic organism in CAPD peritonitis. Because this peritonitis may not improve in spite of medical treatment with susceptible antibiotics, CAPD catheter must be removed finally.
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KEYWORD
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Pseudomonas, Continuous ambulatory peritoneal dialysis, Peritonitis
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