Letter to the Editor
Pseudomonas mendocina: the first case of peritonitis on peritoneal dialysis
Pseudomonas mendocina: el primer caso de peritonitis en diálisis peritoneal
Teresa M. Jerónimoa,
, Anabela M. Guedesa,b, Sandra Stieglmairc, Raquel Guerreirod, Ceú Laranjoa, Idalécio Bernardoa, Pedro L. Nevesa,b
Corresponding author
a Centro Hospitalar do Algarve, Nephrology Department, Rua Leão Penedo, 8000 Faro, Algarve, Portugal
b Universidade do Algarve, Campus da Penha, 8005-139 Faro, Algarve, Portugal
c Krankenhaus der Elisabethinen Linz, Fadingerstraße 1, 4020 Linz, Austria
d Centro Hospitalar do Algarve, Clinical Pathology Department, Rua Leão Penedo, 8000 Faro, Algarve, Portugal
Read
5917
Timeswas read the article
2335
Total PDF
3582
Total HTML
Share statistics
array:24 [ "pii" => "S2013251417301621" "issn" => "20132514" "doi" => "10.1016/j.nefroe.2017.09.007" "estado" => "S300" "fechaPublicacion" => "2017-11-01" "aid" => "290" "copyright" => "Sociedad Española de Nefrología" "copyrightAnyo" => "2016" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Nefrologia (English Version). 2017;37:647-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1753 "formatos" => array:3 [ "EPUB" => 242 "HTML" => 1105 "PDF" => 406 ] ] "itemSiguiente" => array:18 [ "pii" => "S2013251417301633" "issn" => "20132514" "doi" => "10.1016/j.nefroe.2017.09.008" "estado" => "S300" "fechaPublicacion" => "2017-11-01" "aid" => "302" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Nefrologia (English Version). 2017;37:649-51" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1726 "formatos" => array:3 [ "EPUB" => 230 "HTML" => 1087 "PDF" => 409 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Is acquired arterial-venous fistula related to Kaposi sarcoma?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "649" "paginaFinal" => "651" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Se adquiere la fístula arteriovenosa relacionada con sarcoma de Kaposi?" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2292 "Ancho" => 2333 "Tamanyo" => 355614 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Multiple discrete, (nonulcerated, erythamatous-violaceous noduler and plaques on left forearm and hand(A,B,C,D).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Baris Eser, Ozlem Yayar, Ibrahim Dogan, Yilmaz Bas" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Baris" "apellidos" => "Eser" ] 1 => array:2 [ "nombre" => "Ozlem" "apellidos" => "Yayar" ] 2 => array:2 [ "nombre" => "Ibrahim" "apellidos" => "Dogan" ] 3 => array:2 [ "nombre" => "Yilmaz" "apellidos" => "Bas" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417301633?idApp=UINPBA000064" "url" => "/20132514/0000003700000006/v1_201712030528/S2013251417301633/v1_201712030528/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S201325141730189X" "issn" => "20132514" "doi" => "10.1016/j.nefroe.2017.11.005" "estado" => "S300" "fechaPublicacion" => "2017-11-01" "aid" => "371" "copyright" => "Sociedad Española de Nefrología" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Nefrologia (English Version). 2017;37:646-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3914 "formatos" => array:3 [ "EPUB" => 271 "HTML" => 3119 "PDF" => 524 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "<span class="elsevierStyleItalic">Stenotrophomonas maltophilia:</span> A rare cause of peritonitis in CAPD patients" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "646" "paginaFinal" => "647" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Stenotrophomonas maltophilia:</span> una causa poco frecuente de peritonitis en diálisis peritoneal" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Beatriz Millán-Díaz, Lourdes González-Tabarés, Carmen Cobelo-Casas, Margarita López-Vázquez, Jesús Calviño-Varela" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Millán-Díaz" ] 1 => array:2 [ "nombre" => "Lourdes" "apellidos" => "González-Tabarés" ] 2 => array:2 [ "nombre" => "Carmen" "apellidos" => "Cobelo-Casas" ] 3 => array:2 [ "nombre" => "Margarita" "apellidos" => "López-Vázquez" ] 4 => array:2 [ "nombre" => "Jesús" "apellidos" => "Calviño-Varela" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0211699517300917" "doi" => "10.1016/j.nefro.2017.03.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699517300917?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S201325141730189X?idApp=UINPBA000064" "url" => "/20132514/0000003700000006/v1_201712030528/S201325141730189X/v1_201712030528/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "<span class="elsevierStyleItalic">Pseudomonas mendocina</span>: the first case of peritonitis on peritoneal dialysis" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Dear Editor:</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "647" "paginaFinal" => "649" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Teresa M. Jerónimo, Anabela M. Guedes, Sandra Stieglmair, Raquel Guerreiro, Ceú Laranjo, Idalécio Bernardo, Pedro L. Neves" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Teresa M." "apellidos" => "Jerónimo" "email" => array:1 [ 0 => "teresa_jeronimo@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Anabela M." "apellidos" => "Guedes" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Sandra" "apellidos" => "Stieglmair" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Raquel" "apellidos" => "Guerreiro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "Ceú" "apellidos" => "Laranjo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Idalécio" "apellidos" => "Bernardo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 6 => array:3 [ "nombre" => "Pedro L." "apellidos" => "Neves" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Centro Hospitalar do Algarve, Nephrology Department, Rua Leão Penedo, 8000 Faro, Algarve, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Universidade do Algarve, Campus da Penha, 8005-139 Faro, Algarve, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Krankenhaus der Elisabethinen Linz, Fadingerstraße 1, 4020 Linz, Austria" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Centro Hospitalar do Algarve, Clinical Pathology Department, Rua Leão Penedo, 8000 Faro, Algarve, Portugal" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Pseudomonas mendocina</span>: el primer caso de peritonitis en diálisis peritoneal" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Peritonitis is the leading complication of peritoneal dialysis (PD), contributing to technique failure and hospitalisation.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleItalic">Pseudomonas mendocina</span> is a gram-negative non-fermentative rod that was first isolated by Palleroni and others in 1970 from soil and water samples.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> It is a low-virulence organism and is rarely encountered in clinical specimens or reported as a human pathogen. Aragone <span class="elsevierStyleItalic">et al.</span><a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> reported the first case of <span class="elsevierStyleItalic">P. mendocina</span>, as a human pathogen, in a 63-year-old man with endocarditis. Since this report, four cases of infection have been reported<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">4–7</span></a>: three of endocarditis,<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">3,4,6</span></a> one of spondylodiscitis<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> and one of bacteremia<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>).</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">We describe the first case of <span class="elsevierStyleItalic">P. mendocina</span> peritonitis in a young adult on PD and discuss its prognostic implications. A 22-year-old male, with chronic kidney disease stage 5d, on automated PD (APD) for 15 months, with no past infectious complications reported, came to our country for a 6 month period. On the 43rd day, he was admitted with peritonitis. Empiric antibiotherapy was initiated, with intraperitoneal cefazolin and ceftazidime in a continuous inpatient PD regimen during 2 days, as the patient was not familiar with intraperitoneal antibiotherapy. His handling regarding PD was evaluated and no mistakes were found. Oral ciprofloxacin (250<span class="elsevierStyleHsp" style=""></span>mg 12/12<span class="elsevierStyleHsp" style=""></span>h), was initiated empirically before discharge and the patient reinitiated his habitual APD regimen, maintaining intraperitoneal ceftazidime and cefazolin. The peritoneal fluid (PF) culture revealed <span class="elsevierStyleItalic">Pseudomonas mendocina</span>. Cefazolin was interrupted and treatment was maintained for 21 days, due to the good clinical evolution in the presence of two anti-pseudomonal antibiotics. The domestic water (in a rented flat with piped water and basic sanitation) was analysed, but contamination was not found.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Six days after the treatment the patient returned to the hospital with relapsing peritonitis. Empirical intraperitoneal cefazolin and ceftazidime was reinitiated, plus ciprofloxacin 500<span class="elsevierStyleHsp" style=""></span>mg 12/12h and fluconazole 50<span class="elsevierStyleHsp" style=""></span>mg 24/24h PO. The Tenckhoff catheter was filled with alteplase. As for the source of infection, we reanalysed the domestic water and contamination with <span class="elsevierStyleItalic">P. mendocina</span> was not found. The bathroom was shared with other colleagues, so suspicion of contamination of a wet shared towel remains the most likely source. Housing conditions were evaluated and sharing of the bathroom and towels with his roommates was discouraged.</p><p id="par0020" class="elsevierStylePara elsevierViewall">PF culture came negative and leucocyte count <10<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span> was observed at 9th day. Empirical therapy was prolonged for 21 days. The patient had a recurrence 46 days after (on his 137th day abroad). Previous therapeutic scheme was initiated, with exception for fluconazole which was increased to 200<span class="elsevierStyleHsp" style=""></span>mg/day. Microbiological, mycobacterium and fungal analysis came negative. He returned to his country one week after and maintained the treatment for 28 days. After 6 months, this patient had no further recurrences or relapses. He was asymptomatic and performing PD. The PF cell count remains routinely negative.</p><p id="par0025" class="elsevierStylePara elsevierViewall">This case entails many self-limited factors that could be perpetuating the source of contamination (staying in a foreign country and different daily routines or constraints to usual aseptic technique), so it was decided not to remove the catheter as he returned home and presented asymptomatic, with clear PF, negative cell count and microorganism growth. He evolved free of infectious complications and the evolution after these 6 months proved that <span class="elsevierStyleItalic">P. mendocina</span> can be treated without removal of the catheter.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Some questions arose, nevertheless. Which was the source of infection for this rare microorganism? Was there a perpetuating focus or inoculum while abroad, as this infection resolved with a passive strategy of maintaining therapy? Could these relapses be due to the antibiotic and dialytic regimens chosen or to the nature of this microorganism, known to produce a bio-film?<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> Was the longer course of antibiotics the key to resolution of this relapsing/recurrent cycle? Could the transference to continuous ambulatory PD (CAPD) and a longer course of therapy have been enough to cure the first episode? The availability to form biofilm has addressed by transiently filling the Tenckhoff catheter with alteplase, as it may be a role to prevent relapsing peritonitis.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> Although its benefit has not been definitively established,<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> no harm has been held up against.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Transference to CAPD, despite being our normal procedure, was not a choice due to logistic issues concerning supplies of allocation and the fact that this patient was not trained in CAPD technique. Little is known about intermittent dosing requirement in patients treated with APD<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> and the treatment regimen was not of easy choice in this particular case. Another remark concerning ceftazidime must be made, as there are no data for this antibiotic for intermittent dosing in APD, and its usage was based on equivalent dosing in CAPD for cefazolin.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Nevertheless, we could concluded that it was not imperative to remove the catheter in this case of low-virulence bacteria belonging to <span class="elsevierStyleItalic">Pseudomonas spp</span>. Further research is needed about <span class="elsevierStyleItalic">P. mendocina</span>, namely its antibiotic sensitivity and therapeutic duration for successful treatment.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Declarations</span><p id="par0045" class="elsevierStylePara elsevierViewall">Informed consent to publish individual data was obtained from the patient.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Declarations" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">M, male; F, female.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Reference (year) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Age/gender \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Underlying disease \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Symptoms \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Biologic specimen \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Diagnosis \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Antibiotics (duration) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Prognosis \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a>1992 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">63/M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Prosthetic aortic valve, Diabetes mellitus, Poliomyelitis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Fever, chills \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Blood \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Infective endocarditis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Ceftriaxone<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>gentamicine (6 weeks) followed by ciprofloxacin (2 weeks) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Survival \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a>2001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">28/F \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Tetralogia de Fallot and previous cardiovascular surgeries \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Abdominal pain, dyspnoea, flu-like syndrome \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Blood \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Infective endocarditis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Ampicillin<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>gentamicin followed by ciprofloxacin (7 weeks) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Survival \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a>2005 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">65/M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Renal disease, alcoholism \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Lower back pain \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Deep tissue pus \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Spondylodiscitis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Cefepime followed by ciprofloxacin (7 weeks) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Survival \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a>2006 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">36/M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Mentally retarded \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Fever, weight loss \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Blood \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Infective endocarditis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Ceftazidime<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>amikacin (6 weeks) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Survival \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a>2011 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">31/M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">None \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Fever chills \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Blood \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Bacteremia \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Gentamicin<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>ofloxacin (2 weeks) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Survival \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">This case \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">22/M \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Chronic kidney disease, peritoneal dialysis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Abdominal pain, cloudy effluent \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Peritoneal fluid \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Peritonitis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Ceftazidime<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>ciprofloxacin \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Survival \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1609184.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical manifestations and outcomes of reported cases of <span class="elsevierStyleItalic">P. mendocina</span> infection.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Technique failure in peritoneal dialysis and its impact on patient survival" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G. Woodrow" 1 => "J.H. Turney" 2 => "A.M. Brownjohn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Perit Dial Int" "fecha" => "1997" "volumen" => "17" "paginaInicial" => "360" "paginaFinal" => "364" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9284463" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0060" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Taxonomy of aerobic pseudomonas: the properties of the <span class="elsevierStyleItalic">Pseudomonas stuzeri</span> group" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "N.J. Palleroni" 1 => "M. Doudoroff" 2 => "R.Y. Stanier" 3 => "R.E. Solánes" 4 => "M. Mandel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Gen Microbiol" "fecha" => "1970" "volumen" => "16" "paginaInicial" => "215" "paginaFinal" => "231" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0065" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "<span class="elsevierStyleItalic">Pseudomonas mendocina</span>, na environmental bacterium isolated from a patient with human infective endocarditis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.R. Aragone" 1 => "D.M. Mauziri" 2 => "L.O. Clara" 3 => "J.L. Navarro Estrada" 4 => "A. Ascione" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Clin Microbiol" "fecha" => "1992" "volumen" => "30" "paginaInicial" => "1583" "paginaFinal" => "1584" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1624580" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0070" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "<span class="elsevierStyleItalic">Pseudomonas mendocina</span> as a cause of chronic infective endocarditis in a patient with situs inversus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H.K. Johansen" 1 => "K. Kjeldsen" 2 => "N. Høiby" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Microbiol Infect" "fecha" => "2001" "volumen" => "7" "paginaInicial" => "650" "paginaFinal" => "652" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11737094" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0075" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Native valve endocarditis due to <span class="elsevierStyleItalic">Pseudomonas mendocina</span> in a patient with mental retardation and a review of literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Mert" 1 => "M. Yilmaz" 2 => "R. Ozaras" 3 => "F. Kocak" 4 => "S. Dagsali" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/00365540601071883" "Revista" => array:6 [ "tituloSerie" => "Scand J Infect Dis" "fecha" => "2007" "volumen" => "39" "paginaInicial" => "615" "paginaFinal" => "616" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17577828" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0080" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "<span class="elsevierStyleItalic">Pseudomonas mendocina</span> spondylodiscitis: a case report and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C.Y. Chi" 1 => "C.H. Lai" 2 => "C.P. Fung" 3 => "J.H. Wang" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/00365540500263177" "Revista" => array:7 [ "tituloSerie" => "Scand J Infect Dis" "fecha" => "2005" "volumen" => "37" "paginaInicial" => "950" "paginaFinal" => "953" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16308244" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0005791614000469" "estado" => "S300" "issn" => "00057916" ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0085" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "<span class="elsevierStyleItalic">Pseudomonas mendocina</span> sepsis in a healthy man" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "W. Nseir" 1 => "H. Taha" 2 => "A. Abid" 3 => "J. Khateeb" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Isr Med Assos J" "fecha" => "2011" "volumen" => "13" "paginaInicial" => "375" "paginaFinal" => "376" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0090" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Characterization of the ability to form biofilms by plant-associated <span class="elsevierStyleItalic">Pseudomonas</span> species" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A. Ueda" 1 => "H. Saneoka" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00284-014-0749-7" "Revista" => array:6 [ "tituloSerie" => "Curr Microbiol" "fecha" => "2015" "volumen" => "70" "paginaInicial" => "506" "paginaFinal" => "513" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25487118" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0095" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Consensus guidelines for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:5 [ 0 => "B. Warady" 1 => "S. Bakkaloglu" 2 => "J. Newland" 3 => "M. Cantwell" 4 => "E. Verrina" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3747/pdi.2011.00091" "Revista" => array:6 [ "tituloSerie" => "Perit Dial Int" "fecha" => "2012" "volumen" => "32" "paginaInicial" => "S32" "paginaFinal" => "S86" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22851742" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0100" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Peritoneal dialysis – related infections recommendations: 2010 update" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:5 [ 0 => "P. Li" 1 => "C. Szeto" 2 => "B. Piraino" 3 => "J. Bernardini" 4 => "A.E. Figueiredo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3747/pdi.2010.00049" "Revista" => array:6 [ "tituloSerie" => "Perit Dial Int" "fecha" => "2010" "volumen" => "30" "paginaInicial" => "393" "paginaFinal" => "423" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20628102" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000003700000006/v1_201712030528/S2013251417301621/v1_201712030528/en/main.assets" "Apartado" => array:4 [ "identificador" => "35436" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003700000006/v1_201712030528/S2013251417301621/v1_201712030528/en/main.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417301621?idApp=UINPBA000064" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 5 | 12 |
| 2024 October | 52 | 51 | 103 |
| 2024 September | 48 | 44 | 92 |
| 2024 August | 61 | 63 | 124 |
| 2024 July | 51 | 39 | 90 |
| 2024 June | 72 | 39 | 111 |
| 2024 May | 60 | 46 | 106 |
| 2024 April | 63 | 43 | 106 |
| 2024 March | 41 | 29 | 70 |
| 2024 February | 31 | 35 | 66 |
| 2024 January | 37 | 33 | 70 |
| 2023 December | 33 | 33 | 66 |
| 2023 November | 47 | 37 | 84 |
| 2023 October | 62 | 31 | 93 |
| 2023 September | 27 | 37 | 64 |
| 2023 August | 36 | 29 | 65 |
| 2023 July | 32 | 21 | 53 |
| 2023 June | 27 | 18 | 45 |
| 2023 May | 34 | 33 | 67 |
| 2023 April | 29 | 17 | 46 |
| 2023 March | 49 | 13 | 62 |
| 2023 February | 33 | 20 | 53 |
| 2023 January | 26 | 33 | 59 |
| 2022 December | 51 | 30 | 81 |
| 2022 November | 46 | 23 | 69 |
| 2022 October | 52 | 38 | 90 |
| 2022 September | 52 | 36 | 88 |
| 2022 August | 61 | 46 | 107 |
| 2022 July | 34 | 180 | 214 |
| 2022 June | 46 | 37 | 83 |
| 2022 May | 30 | 32 | 62 |
| 2022 April | 42 | 52 | 94 |
| 2022 March | 54 | 44 | 98 |
| 2022 February | 38 | 40 | 78 |
| 2022 January | 39 | 31 | 70 |
| 2021 December | 56 | 42 | 98 |
| 2021 November | 41 | 26 | 67 |
| 2021 October | 64 | 43 | 107 |
| 2021 September | 51 | 37 | 88 |
| 2021 August | 40 | 34 | 74 |
| 2021 July | 39 | 40 | 79 |
| 2021 June | 21 | 25 | 46 |
| 2021 May | 47 | 40 | 87 |
| 2021 April | 44 | 48 | 92 |
| 2021 March | 70 | 33 | 103 |
| 2021 February | 77 | 35 | 112 |
| 2021 January | 41 | 20 | 61 |
| 2020 December | 62 | 17 | 79 |
| 2020 November | 39 | 14 | 53 |
| 2020 October | 28 | 14 | 42 |
| 2020 September | 36 | 18 | 54 |
| 2020 August | 35 | 15 | 50 |
| 2020 July | 31 | 22 | 53 |
| 2020 June | 34 | 14 | 48 |
| 2020 May | 34 | 15 | 49 |
| 2020 April | 33 | 18 | 51 |
| 2020 March | 42 | 17 | 59 |
| 2020 February | 31 | 14 | 45 |
| 2020 January | 46 | 20 | 66 |
| 2019 December | 39 | 23 | 62 |
| 2019 November | 43 | 19 | 62 |
| 2019 October | 27 | 13 | 40 |
| 2019 September | 32 | 18 | 50 |
| 2019 August | 31 | 19 | 50 |
| 2019 July | 26 | 20 | 46 |
| 2019 June | 24 | 10 | 34 |
| 2019 May | 23 | 12 | 35 |
| 2019 April | 55 | 35 | 90 |
| 2019 March | 30 | 21 | 51 |
| 2019 February | 18 | 16 | 34 |
| 2019 January | 32 | 14 | 46 |
| 2018 December | 79 | 41 | 120 |
| 2018 November | 161 | 9 | 170 |
| 2018 October | 88 | 8 | 96 |
| 2018 September | 57 | 14 | 71 |
| 2018 August | 27 | 11 | 38 |
| 2018 July | 23 | 10 | 33 |
| 2018 June | 31 | 7 | 38 |
| 2018 May | 37 | 15 | 52 |
| 2018 April | 37 | 10 | 47 |
| 2018 March | 32 | 9 | 41 |
| 2018 February | 31 | 7 | 38 |
| 2018 January | 19 | 4 | 23 |
| 2017 December | 35 | 11 | 46 |
Show all
