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KMID : 1144320110430030275
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감염과 화학요법
2011 Volume.43 No. 3 p.275 ~ p.278
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Continuous Ambulatory Peritoneal Dialysis-Associated Peritonitis Caused by Achromobacter xylosoxidans : A Case Report and Comprehensive Literature Review
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Oh Tak-Geun
Baek Ji-Hyeon
Jung Soo-Jin
Chae Yun-Tae
Ku Nam-Su
Chin Bum-Sik
Han Sang-Hoon
Kim Chang-Oh
Song Young-Goo
Lee Ho-Yung
Kim June-Myung
Choi Jun-Yong
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Abstract
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Achromobacter xylosoxidans is an uncommon cause of peritonitis in patients on maintenance continuous ambulatory peritoneal dialysis (CAPD). CAPD peritonitis caused by Achromobacter xylosoxidans carries high mortality and recurrence rates because of its virulence and resistance to most antimicrobial agents. We experienced a case of CAPD peritonitis caused by Achromobacter xylosoxidans in a patient with hypertension, diabetes mellitus, and end stage renal disease. The patient was treated with intravenous imipenem/cilastatin, and the CAPD catheter was removed. However, the patient died by aspiration pneumonia on the 34th day of hospitalization.
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KEYWORD
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Achromobacter xylosoxidans, Continuous ambulatory peritoneal dialysis, Peritonitis
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