Moellerella wisconsensis’e bağlı olarak gelişen periton diyalizi ile ilişkili peritonit olgusu*

Peritonit, sürekli ayaktan periton diyalizi (SAPD) yapılan hastalarda yaygın ve önemli bir komplikasyon olup, anlamlı oranda morbidite ve mortalite ile ilişkilidir. Gram negatif bakteriler, periton diyalizi ile ilişkili peritonitlerin %20-30’undan sorumlu etkenlerdir. Moellerella wisconsensis (M.wisconsensis), yakın zamanda izole edilmiş bir Enterobacteriaceae ailesi üyesidir. Bakterinin insanlardaki patojenitesi tam olarak bilinmemesine rağmen; birkaç olguda, diyare ve bazılarında sekonder bakteriyeminin eşlik ettiği akut kolesistit olguları raporlanmıştır. Bu çalışmada, M.wisconsensis’e bağlı olarak gelişen periton diyalizi ile ilişkili peritonit gelişen bir olgu sunulmuştur.

Anahtar Kelimeler:

Moellerella wisconsensis, ayaktan sürekli periton diyalizi, peritonit

Peritonitis related to peritoneal dialysis due to Moellerella wisconsensis

Peritonitis is one of the most common and important complications in patients on continuous ambulatory peritoneal dialysis (CAPD), that is associated with significant morbidity and mortality. Gram negative bacteria are the causative agents in % 20-30 of peritoneal dialysis related peritonitis case. Moellerella winconsensis is a recently-identified member of the Enterobacteriaceae family. Although pathogenicity of M.wisconsensis remains unclear in humans, it is found associated with diarrhea and acute cholecystitis with or without secondary bacteremia only in a few cases. In this report, a case of peritoneal dialysis-related peritonitis caused by M. wisconsensis is presented.

Keywords:

Moellerella wisconsensis, continuous ambulatory peritoneal dialysis, peritonitis,

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