지속성 외래 복막투석 환자에서 발생한 비브리오 불니피쿠스(Vibrio vulnificus) 복막염 2예
Two cases of Vibrio vulnificus peritonitis after ingestion of seafood in patients receiving continuous ambulatory peritoneal dialysis
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초록
복막염은 CAPD 환자에서 가장 흔한 감염성 합병증이다. 하지만 V. vulnificus에 의한 복막염은 외국의 1예를 제외하고, 국내에서는 아직 보고된 적이 없기에 문헌 고찰과 함께 저자들이 경험한 2예를 보고한다. 치명적인 패혈증을 유발하는 V. vulnificus 감염에 의한 복막염을 예방하기 위해서는 말기 신질환자들이 해산물을 날 것으로 섭취하지 말고, 상처가 해수에 노출되지 않도록 주의하여야겠다.
Abstract
Peritonitis is the most common infectious complication of continuous ambulatory peritoneal dialysis (CAPD). However, CAPD-related peritonitis caused by Vibrio vulnificus is rarely reported. V. vulnificus is marine bacterium and opportunistic human pathogen. In an immunocompromised host, e.g. with chronic liver disease, end-stage renal disease, hemochromatosis, and other iron-overload disorders, this organism has been associated with the development of life-threatening primary septicemia and severe wound infection. However, CAPD-related peritonitis caused by V. vulnificus has not been reported, except for one case in Hong Kong, China. We report on two patients receiving CAPD who developed peritonitis caused by V. vulnificus after ingestion of seafood, for the first time in Korea.(Korean J Med 72:684-688, 2007)
참고문헌 (19)
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