PMID: 31373467Aug 3, 2019Paper

Peritoneal dialysis catheter infection with abscess of the abdominal wall in a ADPKD patient

Giornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia
Lucio PoleseCarlo Garofalo

Abstract

Infections to the peritoneal catheter are common in Peritoneal Dialysis (PD). We report the clinical case of a 49-year-old male patient in PD, who showed an atypical manifestation of tunnel infection caused by Staphylococcus aureus. The infection was characterized by a little abscess, on the left pararectal abdominal line, 6 cm far from exit-site of the peritoneal catheter. The diagnosis was made using ultrasonography (US), which showed a fistulous communication from subcutaneous cuff to the skin. We treated the infection conservatively by performing cuff-shaving and drainage of the abscess, associated to antibiotic therapy (teicoplanin). Due to the persistence of the infection, we added oral and topical rifampicin, and advanced medication with freez-dried collagen plant impregnated with extended-release gentamicin. The complete resolution of the infection allowed us to avoid removing the catheter.

Related Concepts

Related Feeds

CRISPR & Staphylococcus

CRISPR-Cas system enables the editing of genes to create or correct mutations. Staphylococci are associated with life-threatening infections in hospitals, as well as the community. Here is the latest research on how CRISPR-Cas system can be used for treatment of Staphylococcal infections.

Related Papers

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
Sharon J Nessim, Sarbjit V Jassal
Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
M J FlaniganV S Lim
Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
M Vorobiov, M J Hausmann
Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
Beth PirainoLinda Fried
Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
Maša KnehtlRadovan Hojs
© 2021 Meta ULC. All rights reserved