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  • Title: Streptococcus agalactiae: a rare peritoneal infection in a continuous ambulatory peritoneal dialysis patient.
    Author: de Los Santos CA, Prado Lima Figueiredo AE, Poli-de-Figueiredo CE.
    Journal: Ren Fail; 2010; 32(9):1123-4. PubMed ID: 20863221.
    Abstract:
    Streptococcus agalactiae causes a rare and often fatal peritonitis in continuous ambulatory peritoneal dialysis (CAPD). A 52-year-old white female with Alport and chronic kidney disease was initiated on CAPD treatment. Nineteen months later she had a S. agalactiae peritonitis identified and received initially gentamicin-cephalothin, which was changed to ceftazidime, tobramycin, and vancomycin. Recovery started after peritoneal catheter removal. After 3 weeks, severe leucopenia occurred. Granulokine and steroids were given. Six weeks later, she felt well and an abdominal video laparoscopic procedure disclosed a diffuse peritoneal fibrosis, precluding CAPD resumption. She is now doing well on hemodialysis (HD).
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