Tunnel Infection and Peritonitis Induced by <i>Staphylococcus aureus</i> Due to Decubitus Change of the Anterior Abdominal Wall in a Patient on Peritoneal Dialysis: Case Report
The occurrence of anterior abdominal wall ulcer at the site of the peritoneal catheter (PC) is one of the rarest complications of peritoneal dialysis (PD). When present, it is mainly caused by <i>staphylococci</i> which respond well to vancomycin therapy. Despite well-conducted therapy,...
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MDPI AG
2024-12-01
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| author | Marko Baralić Ana Bontić Jelena Pavlović Vidna Karadžić-Ristanović Selena Gajić Jovan Jevtić Pavle Popović Kristina Petrović Lara Hadži-Tanović Aleksandra Kezić |
| author_facet | Marko Baralić Ana Bontić Jelena Pavlović Vidna Karadžić-Ristanović Selena Gajić Jovan Jevtić Pavle Popović Kristina Petrović Lara Hadži-Tanović Aleksandra Kezić |
| author_sort | Marko Baralić |
| collection | DOAJ |
| description | The occurrence of anterior abdominal wall ulcer at the site of the peritoneal catheter (PC) is one of the rarest complications of peritoneal dialysis (PD). When present, it is mainly caused by <i>staphylococci</i> which respond well to vancomycin therapy. Despite well-conducted therapy, there is a tendency to relapse and induce peritonitis, which makes it necessary to remove the PC and change the dialysis model of treatment and/or re-insert the catheter at another place to preserve PD as a treatment method. In the present study, we discuss a case of a 53-year-old patient with end-stage kidney disease treated with PD and with decubitus changes at the PC exit site; the change occurred due to migration of the catheter middle part by protruding from the abdominal cavity to the skin, thus allowing ulcer appearance. Although the PC site was treated with antibiotics, as advised by the surgeon, the patient was finally transferred to hemodialysis as the repositioning of the catheter was not performed. This leads to the conclusion that the antibiotic treatment and catheter repositioning are mandatory to preserve peritoneal dialysis as an end-stage kidney disease (ESKD) treatment model. |
| format | Article |
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| institution | OA Journals |
| issn | 2076-2607 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Microorganisms |
| spelling | doaj-art-efa8ca87a9f54669a2ab72b1064683212025-08-20T02:01:20ZengMDPI AGMicroorganisms2076-26072024-12-011212260810.3390/microorganisms12122608Tunnel Infection and Peritonitis Induced by <i>Staphylococcus aureus</i> Due to Decubitus Change of the Anterior Abdominal Wall in a Patient on Peritoneal Dialysis: Case ReportMarko Baralić0Ana Bontić1Jelena Pavlović2Vidna Karadžić-Ristanović3Selena Gajić4Jovan Jevtić5Pavle Popović6Kristina Petrović7Lara Hadži-Tanović8Aleksandra Kezić9Clinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, Dr Subotića Starijeg 8, 11000 Belgrade, SerbiaClinic for Emergency Surgery, Emergency Center, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaClinic of Nephrology, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, SerbiaThe occurrence of anterior abdominal wall ulcer at the site of the peritoneal catheter (PC) is one of the rarest complications of peritoneal dialysis (PD). When present, it is mainly caused by <i>staphylococci</i> which respond well to vancomycin therapy. Despite well-conducted therapy, there is a tendency to relapse and induce peritonitis, which makes it necessary to remove the PC and change the dialysis model of treatment and/or re-insert the catheter at another place to preserve PD as a treatment method. In the present study, we discuss a case of a 53-year-old patient with end-stage kidney disease treated with PD and with decubitus changes at the PC exit site; the change occurred due to migration of the catheter middle part by protruding from the abdominal cavity to the skin, thus allowing ulcer appearance. Although the PC site was treated with antibiotics, as advised by the surgeon, the patient was finally transferred to hemodialysis as the repositioning of the catheter was not performed. This leads to the conclusion that the antibiotic treatment and catheter repositioning are mandatory to preserve peritoneal dialysis as an end-stage kidney disease (ESKD) treatment model.https://www.mdpi.com/2076-2607/12/12/2608abdominal wall ulcerperitoneal dialysis<i>Staphylococcus aureus</i>vancomycin |
| spellingShingle | Marko Baralić Ana Bontić Jelena Pavlović Vidna Karadžić-Ristanović Selena Gajić Jovan Jevtić Pavle Popović Kristina Petrović Lara Hadži-Tanović Aleksandra Kezić Tunnel Infection and Peritonitis Induced by <i>Staphylococcus aureus</i> Due to Decubitus Change of the Anterior Abdominal Wall in a Patient on Peritoneal Dialysis: Case Report Microorganisms abdominal wall ulcer peritoneal dialysis <i>Staphylococcus aureus</i> vancomycin |
| title | Tunnel Infection and Peritonitis Induced by <i>Staphylococcus aureus</i> Due to Decubitus Change of the Anterior Abdominal Wall in a Patient on Peritoneal Dialysis: Case Report |
| title_full | Tunnel Infection and Peritonitis Induced by <i>Staphylococcus aureus</i> Due to Decubitus Change of the Anterior Abdominal Wall in a Patient on Peritoneal Dialysis: Case Report |
| title_fullStr | Tunnel Infection and Peritonitis Induced by <i>Staphylococcus aureus</i> Due to Decubitus Change of the Anterior Abdominal Wall in a Patient on Peritoneal Dialysis: Case Report |
| title_full_unstemmed | Tunnel Infection and Peritonitis Induced by <i>Staphylococcus aureus</i> Due to Decubitus Change of the Anterior Abdominal Wall in a Patient on Peritoneal Dialysis: Case Report |
| title_short | Tunnel Infection and Peritonitis Induced by <i>Staphylococcus aureus</i> Due to Decubitus Change of the Anterior Abdominal Wall in a Patient on Peritoneal Dialysis: Case Report |
| title_sort | tunnel infection and peritonitis induced by i staphylococcus aureus i due to decubitus change of the anterior abdominal wall in a patient on peritoneal dialysis case report |
| topic | abdominal wall ulcer peritoneal dialysis <i>Staphylococcus aureus</i> vancomycin |
| url | https://www.mdpi.com/2076-2607/12/12/2608 |
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