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001-es BibID:BIBFORM061606
Első szerző:Avusula, Ramachandram (orvos)
Cím:Bacterial Peritonitis Following Esophagogastroduodenoscopy in a Patient on Peritoneal Dialysis / Ramachandram Avusula, Michael Shoemaker-Moyle, Minesh B. Pathak, Éva Csongrádi, Tibor Fülöp,
Dátum:2013
Megjegyzések:Aims: To recognize the importance of considering perforation of viscus in thedifferential of peritonitis after upper gastrointestinal endoscopy in peritoneal dialysispatients and to address the potential benefit of antibiotic prophylaxis in PD patientsundergoing upper GI procedures.Presentation of Case: We report the case of a 54-year-old African American femalewith end-stage renal disease on peritoneal dialysis presenting with generalizedabdominal pain, along with nausea and vomiting. Peritoneal fluid revealed a WBC countof 1,499/mm3. Two days earlier, she had undergone an esophagogastroduodenoscopywith biopsy. Broad spectrum antibiotics were started to treat possible peritonitis.Surgical exploration revealed no perforation but murky peritoneal fluid was noted andgram stain showed mixed flora (both gram negative and gram positive rods); however,blood and peritoneal fluid culture grew only Streptococcus pneumoniae.Discussion and Conclusion: An occult perforation, which may not be obvious to thenaked eye or signs of contrast extravasation can occur afteresophagogastroduodenoscopy with manipulations and can lead to peritonitis, especiallyin high-risk patients such as those with end-stage renal disease on peritoneal dialysis.To our knowledge, this is the first reported case of mixed peritonitis attributable tosuspected micro-perforation after esophagogastroduodenoscopy. Whether preprocedureantibiotics are warranted to decrease the occurrence of infectiouscomplications in PD patients undergoing upper gastrointestinal procedures remainsuncertain and not well studied. The prompt recognition of possible mixed bacterialinfection remains essential after these procedures.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:British Journal of Medicine & Medical Research. - 3 : 3 (2013), p. 784-789. -
További szerzők:Shoemaker-Moyle Michael (orvos) Pathak, Minesh B. (orvos) Csongrádi Éva (1969-) (szakorvos) Fülöp Tibor (1957-) (kardiológus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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