Polymicrobial peritonitis case in a patient who underwent continuous ambulatory peritoneal dialysis result with exitus

Year 2020, Volume: 12 Issue: 2, 258 - 261, 01.06.2020

Taliha Karakök , Ayşe Büyükdemirci , Salih Cesur , Salim Tece Sami Kınıklı , Gül Gürsoy

https://doi.org/10.21601/ortadogutipdergisi.612118

Abstract

Peritonitis is a common complication in patients undergoing continuous ambulatory peritoneal dialysis. Majority of cases are usually due to a single agent. Besides, polymicrobial peritonitis develops in approximately 1-4% of patients. A gram-negative pathogen with another bacteria or fungus and rarely more than one gram- positive pathogen are responsible for this polymicrobial peritonitis. It is recommended to investigate intraabdominal focus in patients with polymicrobial peritonitis. In this article, we present a 29-year-old patient with chronic renal disease for 7 years who underwent continuous ambulatory peritoneal dialysis for the last 1 year and had polymicrobial peritonitis due to Serratia fonticola, Enterococcus faecium and Cryptococcus laurenti and resulted with exitus.

Keywords

Polymicrobial peritonitis, Serratia fonticola, Enteroccus faeicum, Cryptococcus laurenti

Sürekli ayaktan periton diyalizi uygulanan bir hastada mortal seyreden polimikrobiyal peritonit

Abstract

Peritonit, sürekli ayaktan periton diyalizi uygulanan hastalarda sık görülen bir komplikasyondur ve vakaların çoğunluğunda genellikle tek bir etkene bağlı olarak gelişir. Bununla birlikte, hastaların yaklaşık %1-4’ünde polimikrobiyal peritonit gelişmektedir. Bu hastaların çoğunda gram negatif bir etken ile birlikte mantarlar, nadiren de birden fazla gram pozitif patojen rapor edilmektedir. Polimikrobiyal peritonit gelişen olgularda intraabdominal odak araştırılması önerilmektedir. Bu yazıda 29 yaşında 7 senedir kronik böbrek hastalığı olan ve son bir senedir sürekli ayaktan periton diyalizi uygulanan periton kültüründe Serratia fonticola, Enteroccus faeicum ve Criptococcus laurenti üreyen ve mortal seyreden bir hasta sunuldu.

Keywords

Polimikrobiyal peritonit, Serratia fonticola, Enteroccus faeicum, Cryptococcus laurenti

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