Methicillin-Resistant Staphylococcus aureus Peritonitis due to Hematogenous Dissemination from Central Venous Catheter in a Maintenance Dialysis Patient
Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia,...
Ausführliche Beschreibung
Autor*in: |
Gaetano Alfano [verfasserIn] Monica Frisina [verfasserIn] Niccolò Morisi [verfasserIn] Elisabetta Ascione [verfasserIn] Francesco Fontana [verfasserIn] Giacomo Mori [verfasserIn] Caterina Cerami [verfasserIn] Francesco Serra [verfasserIn] Francesca Cabry [verfasserIn] Decenzio Bonucchi [verfasserIn] Roberta Gelmini [verfasserIn] Giovanni Guaraldi [verfasserIn] Riccardo Magistroni [verfasserIn] Gianni Cappelli [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2021 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Case Reports in Nephrology and Dialysis - Karger Publishers, 2016, 11(2021), 3, Seite 281-285 |
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Übergeordnetes Werk: |
volume:11 ; year:2021 ; number:3 ; pages:281-285 |
Links: |
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DOI / URN: |
10.1159/000517143 |
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Katalog-ID: |
DOAJ061920681 |
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520 | |a Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia, infective endocarditis, osteomyelitis, arthritis, and endophthalmitis. Peritoneal localization from extra-abdominal infection can be a potential consequence of S. aureus infection. Two cases of metastatic peritonitis have been described in patients on peritoneal dialysis with concomitant peripheral vascular catheter-related bloodstream infection. We reported a case of peritoneal metastatic infection caused by methicillin-resistant Staphylococcus aureus (MRSA) in a patient on maintenance hemodialysis. A 37-year-old man was admitted with fever and chill due to jugular central vascular catheter (CVC)-related bloodstream infection caused by MRSA. CVC was placed after switching the patient from peritoneal dialysis to hemodialysis for scarce adherence to fluid restriction. Detection of MRSA on the peritoneal effluent combined with a total white blood cell count of 554 cells/mm3 prompted the diagnosis of satellite MRSA peritonitis. Antibiotic treatment with daptomycin and simultaneous CVC and peritoneal catheter removal resolved the infectious process. No further metastatic localizations were detected elsewhere. In conclusion, S. aureus can induce metastatic infections far from the site of primary infection. As reported in this case, peritonitis can be secondary to the hematogenous dissemination of S. aureus especially in hospitalized patients having a central line. | ||
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10.1159/000517143 doi (DE-627)DOAJ061920681 (DE-599)DOAJ645124c087584ab7a7e2ea48ddbc58d5 DE-627 ger DE-627 rakwb eng RC870-923 Gaetano Alfano verfasserin aut Methicillin-Resistant Staphylococcus aureus Peritonitis due to Hematogenous Dissemination from Central Venous Catheter in a Maintenance Dialysis Patient 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia, infective endocarditis, osteomyelitis, arthritis, and endophthalmitis. Peritoneal localization from extra-abdominal infection can be a potential consequence of S. aureus infection. Two cases of metastatic peritonitis have been described in patients on peritoneal dialysis with concomitant peripheral vascular catheter-related bloodstream infection. We reported a case of peritoneal metastatic infection caused by methicillin-resistant Staphylococcus aureus (MRSA) in a patient on maintenance hemodialysis. A 37-year-old man was admitted with fever and chill due to jugular central vascular catheter (CVC)-related bloodstream infection caused by MRSA. CVC was placed after switching the patient from peritoneal dialysis to hemodialysis for scarce adherence to fluid restriction. Detection of MRSA on the peritoneal effluent combined with a total white blood cell count of 554 cells/mm3 prompted the diagnosis of satellite MRSA peritonitis. Antibiotic treatment with daptomycin and simultaneous CVC and peritoneal catheter removal resolved the infectious process. No further metastatic localizations were detected elsewhere. In conclusion, S. aureus can induce metastatic infections far from the site of primary infection. As reported in this case, peritonitis can be secondary to the hematogenous dissemination of S. aureus especially in hospitalized patients having a central line. staphylococcus aureus peritonitis catheter dialysis infection mrsa Diseases of the genitourinary system. Urology Monica Frisina verfasserin aut Niccolò Morisi verfasserin aut Elisabetta Ascione verfasserin aut Francesco Fontana verfasserin aut Giacomo Mori verfasserin aut Caterina Cerami verfasserin aut Francesco Serra verfasserin aut Francesca Cabry verfasserin aut Decenzio Bonucchi verfasserin aut Roberta Gelmini verfasserin aut Giovanni Guaraldi verfasserin aut Riccardo Magistroni verfasserin aut Gianni Cappelli verfasserin aut In Case Reports in Nephrology and Dialysis Karger Publishers, 2016 11(2021), 3, Seite 281-285 (DE-627)818042141 (DE-600)2809879-1 22969705 nnns volume:11 year:2021 number:3 pages:281-285 https://doi.org/10.1159/000517143 kostenfrei https://doaj.org/article/645124c087584ab7a7e2ea48ddbc58d5 kostenfrei https://www.karger.com/Article/FullText/517143 kostenfrei https://doaj.org/toc/2296-9705 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 281-285 |
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10.1159/000517143 doi (DE-627)DOAJ061920681 (DE-599)DOAJ645124c087584ab7a7e2ea48ddbc58d5 DE-627 ger DE-627 rakwb eng RC870-923 Gaetano Alfano verfasserin aut Methicillin-Resistant Staphylococcus aureus Peritonitis due to Hematogenous Dissemination from Central Venous Catheter in a Maintenance Dialysis Patient 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia, infective endocarditis, osteomyelitis, arthritis, and endophthalmitis. Peritoneal localization from extra-abdominal infection can be a potential consequence of S. aureus infection. Two cases of metastatic peritonitis have been described in patients on peritoneal dialysis with concomitant peripheral vascular catheter-related bloodstream infection. We reported a case of peritoneal metastatic infection caused by methicillin-resistant Staphylococcus aureus (MRSA) in a patient on maintenance hemodialysis. A 37-year-old man was admitted with fever and chill due to jugular central vascular catheter (CVC)-related bloodstream infection caused by MRSA. CVC was placed after switching the patient from peritoneal dialysis to hemodialysis for scarce adherence to fluid restriction. Detection of MRSA on the peritoneal effluent combined with a total white blood cell count of 554 cells/mm3 prompted the diagnosis of satellite MRSA peritonitis. Antibiotic treatment with daptomycin and simultaneous CVC and peritoneal catheter removal resolved the infectious process. No further metastatic localizations were detected elsewhere. In conclusion, S. aureus can induce metastatic infections far from the site of primary infection. As reported in this case, peritonitis can be secondary to the hematogenous dissemination of S. aureus especially in hospitalized patients having a central line. staphylococcus aureus peritonitis catheter dialysis infection mrsa Diseases of the genitourinary system. Urology Monica Frisina verfasserin aut Niccolò Morisi verfasserin aut Elisabetta Ascione verfasserin aut Francesco Fontana verfasserin aut Giacomo Mori verfasserin aut Caterina Cerami verfasserin aut Francesco Serra verfasserin aut Francesca Cabry verfasserin aut Decenzio Bonucchi verfasserin aut Roberta Gelmini verfasserin aut Giovanni Guaraldi verfasserin aut Riccardo Magistroni verfasserin aut Gianni Cappelli verfasserin aut In Case Reports in Nephrology and Dialysis Karger Publishers, 2016 11(2021), 3, Seite 281-285 (DE-627)818042141 (DE-600)2809879-1 22969705 nnns volume:11 year:2021 number:3 pages:281-285 https://doi.org/10.1159/000517143 kostenfrei https://doaj.org/article/645124c087584ab7a7e2ea48ddbc58d5 kostenfrei https://www.karger.com/Article/FullText/517143 kostenfrei https://doaj.org/toc/2296-9705 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 281-285 |
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10.1159/000517143 doi (DE-627)DOAJ061920681 (DE-599)DOAJ645124c087584ab7a7e2ea48ddbc58d5 DE-627 ger DE-627 rakwb eng RC870-923 Gaetano Alfano verfasserin aut Methicillin-Resistant Staphylococcus aureus Peritonitis due to Hematogenous Dissemination from Central Venous Catheter in a Maintenance Dialysis Patient 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia, infective endocarditis, osteomyelitis, arthritis, and endophthalmitis. Peritoneal localization from extra-abdominal infection can be a potential consequence of S. aureus infection. Two cases of metastatic peritonitis have been described in patients on peritoneal dialysis with concomitant peripheral vascular catheter-related bloodstream infection. We reported a case of peritoneal metastatic infection caused by methicillin-resistant Staphylococcus aureus (MRSA) in a patient on maintenance hemodialysis. A 37-year-old man was admitted with fever and chill due to jugular central vascular catheter (CVC)-related bloodstream infection caused by MRSA. CVC was placed after switching the patient from peritoneal dialysis to hemodialysis for scarce adherence to fluid restriction. Detection of MRSA on the peritoneal effluent combined with a total white blood cell count of 554 cells/mm3 prompted the diagnosis of satellite MRSA peritonitis. Antibiotic treatment with daptomycin and simultaneous CVC and peritoneal catheter removal resolved the infectious process. No further metastatic localizations were detected elsewhere. In conclusion, S. aureus can induce metastatic infections far from the site of primary infection. As reported in this case, peritonitis can be secondary to the hematogenous dissemination of S. aureus especially in hospitalized patients having a central line. staphylococcus aureus peritonitis catheter dialysis infection mrsa Diseases of the genitourinary system. Urology Monica Frisina verfasserin aut Niccolò Morisi verfasserin aut Elisabetta Ascione verfasserin aut Francesco Fontana verfasserin aut Giacomo Mori verfasserin aut Caterina Cerami verfasserin aut Francesco Serra verfasserin aut Francesca Cabry verfasserin aut Decenzio Bonucchi verfasserin aut Roberta Gelmini verfasserin aut Giovanni Guaraldi verfasserin aut Riccardo Magistroni verfasserin aut Gianni Cappelli verfasserin aut In Case Reports in Nephrology and Dialysis Karger Publishers, 2016 11(2021), 3, Seite 281-285 (DE-627)818042141 (DE-600)2809879-1 22969705 nnns volume:11 year:2021 number:3 pages:281-285 https://doi.org/10.1159/000517143 kostenfrei https://doaj.org/article/645124c087584ab7a7e2ea48ddbc58d5 kostenfrei https://www.karger.com/Article/FullText/517143 kostenfrei https://doaj.org/toc/2296-9705 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 281-285 |
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10.1159/000517143 doi (DE-627)DOAJ061920681 (DE-599)DOAJ645124c087584ab7a7e2ea48ddbc58d5 DE-627 ger DE-627 rakwb eng RC870-923 Gaetano Alfano verfasserin aut Methicillin-Resistant Staphylococcus aureus Peritonitis due to Hematogenous Dissemination from Central Venous Catheter in a Maintenance Dialysis Patient 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia, infective endocarditis, osteomyelitis, arthritis, and endophthalmitis. Peritoneal localization from extra-abdominal infection can be a potential consequence of S. aureus infection. Two cases of metastatic peritonitis have been described in patients on peritoneal dialysis with concomitant peripheral vascular catheter-related bloodstream infection. We reported a case of peritoneal metastatic infection caused by methicillin-resistant Staphylococcus aureus (MRSA) in a patient on maintenance hemodialysis. A 37-year-old man was admitted with fever and chill due to jugular central vascular catheter (CVC)-related bloodstream infection caused by MRSA. CVC was placed after switching the patient from peritoneal dialysis to hemodialysis for scarce adherence to fluid restriction. Detection of MRSA on the peritoneal effluent combined with a total white blood cell count of 554 cells/mm3 prompted the diagnosis of satellite MRSA peritonitis. Antibiotic treatment with daptomycin and simultaneous CVC and peritoneal catheter removal resolved the infectious process. No further metastatic localizations were detected elsewhere. In conclusion, S. aureus can induce metastatic infections far from the site of primary infection. As reported in this case, peritonitis can be secondary to the hematogenous dissemination of S. aureus especially in hospitalized patients having a central line. staphylococcus aureus peritonitis catheter dialysis infection mrsa Diseases of the genitourinary system. Urology Monica Frisina verfasserin aut Niccolò Morisi verfasserin aut Elisabetta Ascione verfasserin aut Francesco Fontana verfasserin aut Giacomo Mori verfasserin aut Caterina Cerami verfasserin aut Francesco Serra verfasserin aut Francesca Cabry verfasserin aut Decenzio Bonucchi verfasserin aut Roberta Gelmini verfasserin aut Giovanni Guaraldi verfasserin aut Riccardo Magistroni verfasserin aut Gianni Cappelli verfasserin aut In Case Reports in Nephrology and Dialysis Karger Publishers, 2016 11(2021), 3, Seite 281-285 (DE-627)818042141 (DE-600)2809879-1 22969705 nnns volume:11 year:2021 number:3 pages:281-285 https://doi.org/10.1159/000517143 kostenfrei https://doaj.org/article/645124c087584ab7a7e2ea48ddbc58d5 kostenfrei https://www.karger.com/Article/FullText/517143 kostenfrei https://doaj.org/toc/2296-9705 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 281-285 |
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10.1159/000517143 doi (DE-627)DOAJ061920681 (DE-599)DOAJ645124c087584ab7a7e2ea48ddbc58d5 DE-627 ger DE-627 rakwb eng RC870-923 Gaetano Alfano verfasserin aut Methicillin-Resistant Staphylococcus aureus Peritonitis due to Hematogenous Dissemination from Central Venous Catheter in a Maintenance Dialysis Patient 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia, infective endocarditis, osteomyelitis, arthritis, and endophthalmitis. Peritoneal localization from extra-abdominal infection can be a potential consequence of S. aureus infection. Two cases of metastatic peritonitis have been described in patients on peritoneal dialysis with concomitant peripheral vascular catheter-related bloodstream infection. We reported a case of peritoneal metastatic infection caused by methicillin-resistant Staphylococcus aureus (MRSA) in a patient on maintenance hemodialysis. A 37-year-old man was admitted with fever and chill due to jugular central vascular catheter (CVC)-related bloodstream infection caused by MRSA. CVC was placed after switching the patient from peritoneal dialysis to hemodialysis for scarce adherence to fluid restriction. Detection of MRSA on the peritoneal effluent combined with a total white blood cell count of 554 cells/mm3 prompted the diagnosis of satellite MRSA peritonitis. Antibiotic treatment with daptomycin and simultaneous CVC and peritoneal catheter removal resolved the infectious process. No further metastatic localizations were detected elsewhere. In conclusion, S. aureus can induce metastatic infections far from the site of primary infection. As reported in this case, peritonitis can be secondary to the hematogenous dissemination of S. aureus especially in hospitalized patients having a central line. staphylococcus aureus peritonitis catheter dialysis infection mrsa Diseases of the genitourinary system. Urology Monica Frisina verfasserin aut Niccolò Morisi verfasserin aut Elisabetta Ascione verfasserin aut Francesco Fontana verfasserin aut Giacomo Mori verfasserin aut Caterina Cerami verfasserin aut Francesco Serra verfasserin aut Francesca Cabry verfasserin aut Decenzio Bonucchi verfasserin aut Roberta Gelmini verfasserin aut Giovanni Guaraldi verfasserin aut Riccardo Magistroni verfasserin aut Gianni Cappelli verfasserin aut In Case Reports in Nephrology and Dialysis Karger Publishers, 2016 11(2021), 3, Seite 281-285 (DE-627)818042141 (DE-600)2809879-1 22969705 nnns volume:11 year:2021 number:3 pages:281-285 https://doi.org/10.1159/000517143 kostenfrei https://doaj.org/article/645124c087584ab7a7e2ea48ddbc58d5 kostenfrei https://www.karger.com/Article/FullText/517143 kostenfrei https://doaj.org/toc/2296-9705 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2021 3 281-285 |
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methicillin-resistant staphylococcus aureus peritonitis due to hematogenous dissemination from central venous catheter in a maintenance dialysis patient |
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title_auth |
Methicillin-Resistant Staphylococcus aureus Peritonitis due to Hematogenous Dissemination from Central Venous Catheter in a Maintenance Dialysis Patient |
abstract |
Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia, infective endocarditis, osteomyelitis, arthritis, and endophthalmitis. Peritoneal localization from extra-abdominal infection can be a potential consequence of S. aureus infection. Two cases of metastatic peritonitis have been described in patients on peritoneal dialysis with concomitant peripheral vascular catheter-related bloodstream infection. We reported a case of peritoneal metastatic infection caused by methicillin-resistant Staphylococcus aureus (MRSA) in a patient on maintenance hemodialysis. A 37-year-old man was admitted with fever and chill due to jugular central vascular catheter (CVC)-related bloodstream infection caused by MRSA. CVC was placed after switching the patient from peritoneal dialysis to hemodialysis for scarce adherence to fluid restriction. Detection of MRSA on the peritoneal effluent combined with a total white blood cell count of 554 cells/mm3 prompted the diagnosis of satellite MRSA peritonitis. Antibiotic treatment with daptomycin and simultaneous CVC and peritoneal catheter removal resolved the infectious process. No further metastatic localizations were detected elsewhere. In conclusion, S. aureus can induce metastatic infections far from the site of primary infection. As reported in this case, peritonitis can be secondary to the hematogenous dissemination of S. aureus especially in hospitalized patients having a central line. |
abstractGer |
Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia, infective endocarditis, osteomyelitis, arthritis, and endophthalmitis. Peritoneal localization from extra-abdominal infection can be a potential consequence of S. aureus infection. Two cases of metastatic peritonitis have been described in patients on peritoneal dialysis with concomitant peripheral vascular catheter-related bloodstream infection. We reported a case of peritoneal metastatic infection caused by methicillin-resistant Staphylococcus aureus (MRSA) in a patient on maintenance hemodialysis. A 37-year-old man was admitted with fever and chill due to jugular central vascular catheter (CVC)-related bloodstream infection caused by MRSA. CVC was placed after switching the patient from peritoneal dialysis to hemodialysis for scarce adherence to fluid restriction. Detection of MRSA on the peritoneal effluent combined with a total white blood cell count of 554 cells/mm3 prompted the diagnosis of satellite MRSA peritonitis. Antibiotic treatment with daptomycin and simultaneous CVC and peritoneal catheter removal resolved the infectious process. No further metastatic localizations were detected elsewhere. In conclusion, S. aureus can induce metastatic infections far from the site of primary infection. As reported in this case, peritonitis can be secondary to the hematogenous dissemination of S. aureus especially in hospitalized patients having a central line. |
abstract_unstemmed |
Staphylococcus aureus is a Gram-positive bacterium commonly associated with severe infections in hospitalized patients. S. aureus produces many virulence factors leading to local and distant pathological processes. Invasiveness of S. aureus generally induces metastatic infections such as bacteremia, infective endocarditis, osteomyelitis, arthritis, and endophthalmitis. Peritoneal localization from extra-abdominal infection can be a potential consequence of S. aureus infection. Two cases of metastatic peritonitis have been described in patients on peritoneal dialysis with concomitant peripheral vascular catheter-related bloodstream infection. We reported a case of peritoneal metastatic infection caused by methicillin-resistant Staphylococcus aureus (MRSA) in a patient on maintenance hemodialysis. A 37-year-old man was admitted with fever and chill due to jugular central vascular catheter (CVC)-related bloodstream infection caused by MRSA. CVC was placed after switching the patient from peritoneal dialysis to hemodialysis for scarce adherence to fluid restriction. Detection of MRSA on the peritoneal effluent combined with a total white blood cell count of 554 cells/mm3 prompted the diagnosis of satellite MRSA peritonitis. Antibiotic treatment with daptomycin and simultaneous CVC and peritoneal catheter removal resolved the infectious process. No further metastatic localizations were detected elsewhere. In conclusion, S. aureus can induce metastatic infections far from the site of primary infection. As reported in this case, peritonitis can be secondary to the hematogenous dissemination of S. aureus especially in hospitalized patients having a central line. |
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title_short |
Methicillin-Resistant Staphylococcus aureus Peritonitis due to Hematogenous Dissemination from Central Venous Catheter in a Maintenance Dialysis Patient |
url |
https://doi.org/10.1159/000517143 https://doaj.org/article/645124c087584ab7a7e2ea48ddbc58d5 https://www.karger.com/Article/FullText/517143 https://doaj.org/toc/2296-9705 |
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Monica Frisina Niccolò Morisi Elisabetta Ascione Francesco Fontana Giacomo Mori Caterina Cerami Francesco Serra Francesca Cabry Decenzio Bonucchi Roberta Gelmini Giovanni Guaraldi Riccardo Magistroni Gianni Cappelli |
author2Str |
Monica Frisina Niccolò Morisi Elisabetta Ascione Francesco Fontana Giacomo Mori Caterina Cerami Francesco Serra Francesca Cabry Decenzio Bonucchi Roberta Gelmini Giovanni Guaraldi Riccardo Magistroni Gianni Cappelli |
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doi_str |
10.1159/000517143 |
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up_date |
2024-07-03T23:24:51.963Z |
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