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Nocardia peritonitis -- a case report and literature review.

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Nocardia peritonitis -- a case report and literature

review

陳振文

Li SY;Yu KW;Yang WC;Chen TW;Lin CC

摘要

Abstract

Peritoneal dialysis (PD) is a widely used modality of renal replacement therapy. Nowadays, peritonitis remains the main problem for PD patients, contributing to hospitalization, technique failure, and even mortality. The leading cause of

peritonitis is contamination during the PD exchange. Nocardia is a rare pathogen of PD-related peritonitis despite its universal presence in soil, organic matter, and water. Human infections are seen mostly in immunocompromised hosts, usually originating in the lungs and then spreading to other organ systems, including the brain, skin, kidney, etc. We report here a victim of Nocardia peritonitis on

continuous ambulatory peritonealdialysis (CAPD) who was sequentially treated with oralandintraperitoneal (IP) trimethoprim-sulfamethoxazole (TMP-SMX). He was later withdrawn from PD due to peritonitis relapse.

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