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KMID : 0359920100290010171
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Korean Journal of Nephrology
2010 Volume.29 No. 1 p.171 ~ p.174
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A Case of Klebsiella pneumoniae Peritonitis in CAPD Patient with Liver Abscess
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Ahn Seung-Jae
Kim Jung-Sup
Son Jung-Min
Seong Eun-Young
Song Sang-Heon
Lee Dong-Won
Lee Soo-Bong
Kwak Ihm-Soo
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Abstract
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A 42-year-old male was hospitalized with abdominal pain, dyspnea, and turbid peritoneal fluid. He was diagnosed with hypertension, diabetes and started continuous ambulatory peritoneal dialysis (CAPD) 11 months ago. He was treated with intraperitoneal cefazolin and ceftazidime, and then white blood cell counts of dialysate decreased. Incidentally, liver abscess was found in chest CT performed for the evaluation of dyspnea, and patient was febrile persistently. So percutaneous abscess drainage was done by pigtail catheter. We changed the antibiotics to ceftriaxone and metronidazole, and hemodialysis was started. Klebsiella pneumoniae was cultured from peritoneal fluid and blood simultaneously. We concluded that liver abscess is a primary cause of CAPD peritonitis.
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KEYWORD
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Liver abscess, CAPD, Peritonitis
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