CAPD-related peritonitis due to Salmonella enteritidis in a patient with SLE
Journal
American Journal of Kidney Diseases
Journal Volume
46
Journal Issue
2
Pages
e21-e23
Date Issued
2005
Author(s)
Abstract
Patients with systemic lupus erythematosus are prone to various infections, often associated with high mortality. Salmonella species are a rare cause of continuous ambulatory peritoneal dialysis (CAPD) peritonitis, but patients with lupus are susceptible to infection caused by Salmonella species. A 47-year-old woman who had systemic lupus erythematosus with end-stage renal disease and was undergoing CAPD presented with fever, watery diarrhea, abdominal pain, and turbid dialysate effluent. The effluent culture yielded Salmonella enteritidis. Although she was administered antibiotics to which the organism was susceptible in vitro, peritonitis was not cured. Her clinical condition stabilized after removal of the Tenckhoff catheter and prolonged antibiotic use. In Salmonella-related CAPD peritonitis, early catheter removal may be necessary to achieve complete treatment. ? 2005 by the National Kidney Foundation, Inc.
SDGs
Other Subjects
ampicillin; antibiotic agent; cefotaxime; ceftriaxone; chloramphenicol; ciprofloxacin; cotrimoxazole; prednisolone; abdominal pain; adult; antibiotic sensitivity; article; bacterium culture; bacterium identification; case report; catheter; continuous ambulatory peritoneal dialysis; dialysate; diarrhea; disease predisposition; effluent; female; fever; hemodialysis; human; in vitro study; kidney failure; long term care; mortality; nucleotide sequence; peritonitis; Salmonella enteritidis; systemic lupus erythematosus; treatment failure; treatment outcome; Catheterization; Device Removal; Disease Susceptibility; Female; Humans; Immunocompromised Host; Immunosuppressive Agents; Lupus Erythematosus, Systemic; Lupus Nephritis; Middle Aged; Peritoneal Dialysis, Continuous Ambulatory; Peritonitis; Prednisolone; Salmonella enteritidis; Salmonella Infections; Taiwan
Type
journal article