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지속외래복막투석을 받고 있는 환자에서 발생한 류코노스톡종에 의한 복막염

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Author(s)
변상환박장호남경민조영선김현주서보정
Journal Title
Keimyung Medical Journal
Issued Date
2014
Volume
33
Issue
2
Keyword
LeuconostocPeritoneal dialysisPeritonitis
Abstract
Leuconostoc species are gram-positive cocci and they are rarely pathogenic in human. Leuconostoc infections are commonly associated with immunocompromised status and indwelling medical devices include intravenous catheter, tracheostomy, endotracheal intubation and percutaneous endoscopic gastrostomy. Clinical isolates of Leuconostoc were frequently misidentified, usually as viridans streptococci , but they possess inherent resistance to vancomycin despite sensitivity to most other antibiotics. We present a case of Leuconostoc peritonitis in patients receiving continuous ambulatory peritoneal dialysis (CAPD). A 48-yearold man with hypertensive nephropathy has been treated with peritoneal dialysis, developed peritonitis due to Leuconostoc species. The peritonitis was poorly responded to empirical antibiotics. He was successfully treated with intraperitoneal administration of ampicillin. The dialysis catheter was left in place, and continued to function. To our knowledge, this is the first case of Leuconostoc peritonitis reported in Korea.
Alternative Title
Peritonitis Due to Leuconostoc Species in a Patient Receiving Continuous Ambulatory Peritoneal Dialysis
Publisher
Keimyung University School of Medicine
Citation
변상환 et al. (2014). 지속외래복막투석을 받고 있는 환자에서 발생한 류코노스톡종에 의한 복막염. Keimyung Medical Journal, 33(2), 169–172.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15650
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2014
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