Peritoneal Dialysis-associated Peritonitis Due to <i>Streptococcus oralis</i> Three Weeks after Peritoneal Dialysis Initiation
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- Mihara Yu
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Kado Hiroshi
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Matsumoto Kenji
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Kurose Ryo
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Tsujinaka Erika
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Nakai Kunihiro
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Yamauchi Asuka
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Hatta Tsuguru
- Department of Nephrology, Omihachiman Community Medical Center, Japan
説明
<p>A 60-year-old man with end-stage renal disease due to nephrosclerosis had a peritoneal dialysis catheter (PD) embedded with stepwise initiation of peritoneal dialysis using Moncrief and Popovich's technique three months ago. PD was initiated three weeks after creating an exit site. He presented with abdominal pain and fever a day before admission and was diagnosed with PD-associated peritonitis caused by Streptococcus oralis. Medical consultation after admission revealed a history of wisdom tooth extraction following PD catheter placement, resulting in delayed wound healing. Transient bacteremia can occur after tooth extraction, leading to PD-associated peritonitis. Contemplating the oral milieu in patients undergoing PD is pertinent. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 63 (5), 707-710, 2024-03-01
一般社団法人 日本内科学会