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Review Case Reports
Peritoneal Dialysis-related Peritonitis Caused by Streptococcus oralis.
- Akihiro Kotani, Yasuhiro Oda, Yosuke Hirakawa, Motonobu Nakamura, Yoshifumi Hamasaki, and Masaomi Nangaku.
- Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of Medicine, Japan.
- Intern. Med. 2021 Nov 1; 60 (21): 3447-3452.
AbstractA 77-year-old man developed peritoneal dialysis-related peritonitis caused by Streptococcus oralis, a rare pathogen causing the disease. The infection, which was not controlled by one-week intraperitoneal administration of cefazolin and ceftazidime, was cured only after switching to two-week intravenous administration of cefazolin and ceftazidime. The patient had no major dental disease or recent history of dental intervention. This case suggests that S. oralis might cause peritoneal dialysis-related peritonitis with persistent systemic inflammation via an extra-oral infection route. The clinical course is discussed along with a review of the literature.
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