Melioidosis and peritoneal dialysis related peritonitis.
Med J Malaysia
; 68(2): 179-80, 2013 Apr.
Article
em En
| MEDLINE
| ID: mdl-23629573
ABSTRACT
We report a case of melioidosis presenting as peritonitis in a patient on continuous ambulatory peritoneal dialysis (CAPD). A 47-year-old man, a lorry driver, with end-stage renal disease due to diabetes mellitus on CAPD presented in PD-related peritonitis. He was started on intraperitoneal cloxacillin and ceftazidime, and changed to intraperitoneal vancomycin and meropenam after day 5 due to nonresponse. Burkholderia pseudomallei was identified from the dialysate culture. He was treated with intraperitoneal meropenam for two weeks, and IV ceftazidime for 4 weeks. He responded, and the Tenckhoff catheter was not removed. He was discharged well and continued on oral sulfamethoxazole/trimethoprim for six months. This patient had done his PD exchanges in a lorry.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Peritonite
/
Melioidose
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Med J Malaysia
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Malásia