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Logitrace V14 Password. No items have been added yet! Related Collections. Image with no alt text.Invasive Streptococcus pneumoniae peritonitis in CAPD patients: analysis of 30 cases.
Streptococcus pneumoniae is the most common pathogen responsible for systemic infections in the elderly. In a significant proportion of cases, these infections, either community acquired or nosocomial, are complicated by bacteremia. We reviewed the clinical and laboratory characteristics of 29 patients (30 episodes) with invasive pneumococcal disease in continuous ambulatory peritoneal dialysis (CAPD) patients. Thirty episodes of invasive pneumococcal disease developed in 24 patients. The diagnosis was established in eight cases by the presence of bacteremia, in 21 cases by the identification of pneumococci in the peritoneal dialysate or peripheral blood culture, and in one case by clinical and radiological presentation of pneumonia and the detection of antigen and antibody in serum. All cases of pneumococcal CAPD peritonitis were due to the serotype 1, which was the most frequent serotype. High serum C-reactive protein (CRP) levels were found in 75% of cases. Clinical features of infected patients were difficult to define because both signs of peritonitis, and clinical presentation suggestive of other infections, were present. Clinical diagnosis of peritonitis in one case was based exclusively on peritoneal dialysis effluent analysis. Despite the fact that invasive Streptococcus pneumoniae peritonitis is a rare event, physicians caring for CAPD patients should be aware of this diagnosis.>> Our recent IoT Platform training course at the
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