- 著者
-
Yukihiro Kimura
Ayano Ito
Kanyu Miyamoto
Norihiro Suga
Naoto Miura
Tomomichi Kasagi
Yuka Yamagishi
Hiroshige Mikamo
Hirokazu Imai
- 出版者
- 一般社団法人 日本内科学会
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.55, no.2, pp.165-168, 2016 (Released:2016-01-15)
- 参考文献数
- 20
- 被引用文献数
-
3
A 79-year-old man on continuous ambulatory peritoneal dialysis (CAPD) developed abdominal pain and cloudy peritoneal fluid two days after colonoscopy that revealed multiple diverticula. The white blood cell count was 9,000 cells/μL, C-reactive protein level was 6.86 mg/dL, and the white blood cell count of the peritoneal fluid was 7,800 cells/μL, suggesting acute peritonitis. Empiric therapy consisting of cefazolin and ceftazidime slowly improved the patient's symptoms. The initial microbiological examination of the peritoneal fluid demonstrated Morganella morganii. He was changed from CAPD to hemodialysis. It is important to consider M. morganii peritonitis in patients with colonic diverticula.