Culture-negative Peritonitis Caused by Splenic Infarction in a Continuous Ambulatory Peritoneal Dialysis Patient
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概要
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A 43-year-old diabetic woman on peritoneal dialysis, developed left upper abdominal pain and culture-negative cloudy peritoneal dialysate. The dialysate had WBC counts of 1,532/μL with 90% polymorphonuclear cells. The patient did not respond well to anti-bacterial therapy. Abdominal CT scan revealed diffuse atherosclerosis in the abdominal vessels and wedge-shaped splenic infarction. Anticoagulation therapy was initiated and an improvement in peritonitis was observed without peritoneal catheter removal. Thus, in peritoneal dialysis patients with diffuse atherosclerosis or the risk of systemic embolization, symptoms of unexplained left upper quadrant pain and culture-negative peritonitis should be evaluated to rule out splenic infarction.
著者
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Chung Hyun
Department Of Internal Medicine College Of Medicine Yonsei University
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Kim Young
Department Of Agricultural Chemistry The University Of Tokyo
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Kim Il
Department Of Anatomy And Cell Biology College Of Veterinary Medicine And Bk21 Program For Veterinar
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Yoon Hye
Department Of Chemistry College Of Natural Sciences Seoul National University
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Kim Young
Department of Internal Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea, Republic of Korea
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Yoon Hye
Department of Internal Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea, Republic of Korea
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Chung Hyun
Department of Internal Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea, Republic of Korea
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Shin Seok
Department of Internal Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea, Republic of Korea
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