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Perit Dial Int. 2017 Nov-Dec;37(6):654-656. doi: 10.3747/pdi.2017.00094.

Klebsiella pneumoniae Renal Abscess and Peritonitis in a Peritoneal Dialysis Patient: A Novel Route of Infection.

Author information

1
Division of Nephrology, University Health Network, Toronto, Ontario, Canada.
2
Division of Nephrology, University Health Network, Toronto, Ontario, Canada joanne.bargman@uhn.ca.

Abstract

We present a peritoneal dialysis (PD) patient who had a renal biopsy performed during an episode of urosepsis and subsequently presented with a renal abscess at the biopsy site along with concurrent peritonitis. Microbiology from the PD effluent and from the renal abscess were both positive for Klebsiella pneumoniae We propose that the PD peritonitis was the result of seeding of the peritoneal cavity with bacteria from the renal abscess. Successful treatment was achieved through drainage of the abscess and intraperitoneal antibiotics.

KEYWORDS:

Klebsiella pneumonia; Peritoneal dialysis; peritonitis; renal abscess

PMID:
29123004
DOI:
10.3747/pdi.2017.00094
[Indexed for MEDLINE]

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