http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증예(症例) : 복막 투석 및 HIV 감염 환자에서 Stenotrophomonas maltophilia peritonitis: Colistin 치료와 결과 1예
곽동명 ( Dong Myoung Kwak ),전용덕 ( Yong Deok Jeon ),방지환 ( Ji Hwan Bang ),최광준 ( Gwang Jun Choi ),정현일 ( Hyun Il Cheong ),양성욱 ( Seong Wook Yang ),박상민 ( Sang Min Park ) 전북대학교 의과학연구소 2009 全北醫大論文集 Vol.33 No.2
Stenotrophomonas maltophilia is increasingly being recognized as an important cause of infection on immunodeficient patients. But S. maltophilia peritonitis in continuous ambulatory peritoneal dialysis (CAPD) are not common. Here, we report the case of a 40-year-old male with HIV infection and end-stage renal disease treated with CAPD. The patient had frequent previous history of peritonitis and known HIV infection. He presented with chilling, abdominal pain, and cloudy peritoneal effluent. White blood cell and neutrophil count were elevated at the initial peritoneal fluid analysis, so we diagnosed him as having CAPD-associated peritonitis. On the seventh hospital day, the organism isolated from the effluent was S. maltophilia. We changed the antibiotics to trimethoprim-sulfamethoxazole (TMP-SMX). But it was happened severe nausea, vomiting due to TMP-SMX complication. Thus, TMP-SMX was changed to colistin. after 8 days, He recovered completely, with no need for catheter removal. No recurrence was observed.