First Case of Peritonitis Due to Abiotrophia defective

摘要

A hypertensive 66-year-old female patient with diabetes and end-stage renal failure had been on continuous ambulatory peritoneal dialysis (CAPD) for 14 months. She was admitted to our dialysis center with abdominal pain, vomiting, and cloudy peritoneaL dialysis fluid. Her peritoneaL effluent cell count was 1400 cells/mm3, with 81% poLymorphonuclear leukocytes. During her physical examination, her catheter exit site was cLean, tender-defense test was positive, and she had no tunnel infection. Gram stain of fluid, on the other hand, was remarkable forthe numerous Leukocytes and the absence of micro-organisms. A clinical diagnosis of peritonitis was made and empirical therapy was initiated with cefazoLin sodium intraperitoneally for 2 weeks (500 mg once as Loading dose, followed by a dose of 250 mg/bag in each exchange, 4 exchanges 250 mg/24 hours) and oral criprofloxacin (2 X 250 mg). The cell count decreased to 100 cells/mm~3 within 14 days.