Bacterial peritonitis due to duodenal perforation by a fish bone in an elderly peritoneal dialysis patient
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概要
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The patient, a 77-year-old-man, began peritoneal dialysis (PD) in August 2005. In January 2009, he developed lower abdominal pain and cloudy PD effluent. A diagnosis of peritonitis was made and Escherichia coli was detected in cultures of the PD effluent. An abdominal computed tomography scan showed a fish bone in the duodenal wall. An upper gastrointestinal endoscopy was performed, and a 3-cm fish bone was removed. We thus recommend careful investigation with the possibility of enteric peritonitis from the intestinal tract when E. coli is detected in effluent cultures during PD.
著者
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Kohno Shigeru
The Scientific Assembly For Infection And Tuberculosis Of The Japanese Respiratory Society
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Nishino Tomoya
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Obata Yoko
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Uramatsu Tadashi
The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Arai Hideyuki
The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Shinzato Takeaki
The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan
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Hayashida Takeshi
Department of Radiology, Nagasaki University Hospital, Japan
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Arai Hideyuki
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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