A Fatal Case of Bullous Pemphigoid with Hemophagocytic Syndrome in a Patient Undergoing 15 Years of Peritoneal Dialysis.

2003 ◽  
Vol 65 (1) ◽  
pp. 10-14
Author(s):  
Emi YOKOYAMA(KINOSHITA) ◽  
Yumiko TAKAHATA ◽  
Toshiko ISHIDA ◽  
Yumiko HASHIMOTO ◽  
Kayo INOUE ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Bullous Pemphigoid ◽  
Hemophagocytic Syndrome ◽  
Fatal Case

scholarly journals Fatal Hormonema dematioides Peritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis: Criteria for Organism Identification and Review of Other Known Fungal Etiologic Agents

1998 ◽  
Vol 36 (7) ◽  
pp. 2157-2163 ◽  
Author(s):  
Jong Hee Shin ◽  
Sang Ku Lee ◽  
Soon Pal Suh ◽  
Dong Wook Ryang ◽  
Nam Ho Kim ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Hospital Stay ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Fatal Case ◽  
Insulin Dependent Diabetes Mellitus ◽  
Dependent Diabetes Mellitus ◽  
Fungal Peritonitis ◽  
Etiologic Agents ◽  
Insulin Dependent ◽  
Organism Identification

We report a fatal case a fungal peritonitis caused by the yeast-like dematiaceous mould Hormonema dematioides in a 45-year-old woman. The woman had a 13-year history of insulin-dependent diabetes mellitus and had been on continuous ambulatory peritoneal dialysis for chronic renal failure. H. dematioides was repeatedly isolated from the dialysate culture specimens collected on days 3, 9, 16, and 20 of her hospital stay. Preliminary culture reports on day 7 of the growth of a yeast-like fungus, a probableCandida species, prompted the administration of fluconazole (FLU). Intraperitoneal and intravenous FLU failed to eliminate the mould, and the patient expired on day 21 of her hospital stay. We use this case to present what appears to be the first report of fungal peritonitis due to H. dematioides, to provide laboratorians with criteria for differentiating this organism from the similar mouldAureobasidium pullulans and from various yeast genera, and to provide a review of known fungal taxa inciting peritonitis.

scholarly journals Bullous pemphigoid in patients receiving peritoneal dialysis: a case series and a literature survey

Renal Failure ◽  
2021 ◽  
Vol 43 (1) ◽  
pp. 651-657
Author(s):  
Kohkichi Morimoto ◽  
Tadashi Yoshida ◽  
Naoki Washida ◽  
Kiyotaka Uchiyama ◽  
Takashin Nakayama ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Bullous Pemphigoid ◽  
Case Series ◽  
Literature Survey

Recurrent, Fatal Hemophilus Influenzae Sepsis in a Splenectomized Child on Continuous Ambulatory Peritoneal Dialysis (CAPD)

1985 ◽  
Vol 5 (1) ◽  
pp. 51-52
Author(s):  
Richard A. Cohn ◽  
Thomas E. Nevins ◽  
Donald I. Moel
Keyword(s):  
Peritoneal Dialysis ◽  
Young Children ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Fatal Case ◽  
Effective Vaccine ◽  
Renal Transplant Recipients ◽  
Hemophilus Influenzae ◽  
Stage Renal Disease ◽  
End Stage

This child, who was on CAPD, had two episodes of Hemophilus influenzae sepsis, the second of which proved fatal. Predisposing factors were prior splenectomy, recent immunosuppression and cytomegalovirus infection. Peritonitis was not present. Nephrologists must consider various risk factors when caring for the increasing number of young children on CAPD, particularly those who are splenectomized. In some renal transplant recipients splenectomy has been advocated in an effort to improve graft survival (I). The procedure entails both perioperative risk and long-term complications, most notably bacterial sepsis. The risk of overwhelming, post splenectomy infection (OPSI) is higher in young children (2) and may be further increased in patients with end-stage renal disease. We report a fatal case of recurrent Hemophilus influenzae (H. flu) septicemia in a splenectomized child receiving continuous ambulatory peritoneal dialysis (CAPD). In the absence of an available, effective vaccine to prevent hemophilus infections in children, our experience with this child suggests that prophylactic antibiotics should be given to reduce the risk of OPSI in susceptible individuals.

scholarly journals A Fatal Case of Hot Air Sauna Burn in an Elderly Patient Initially Misdiagnosed as Bullous Pemphigoid

2011 ◽  
Vol 91 (6) ◽  
pp. 732-733 ◽  
Author(s):  
N Kluger ◽  
J Laipio ◽  
S Virolainen ◽  
A Ranki ◽  
V Koljonen
Keyword(s):  
Elderly Patient ◽  
Bullous Pemphigoid ◽  
Fatal Case ◽  
Hot Air

scholarly journals Development of Bullous Pemphigoid after Tenckhoff Catheter Placement in a Peritoneal Dialysis Patient

2020 ◽  
Vol 12 (1) ◽  
pp. 42-46
Author(s):  
Davide Giunzioni
Keyword(s):  
Peritoneal Dialysis ◽  
Bullous Pemphigoid ◽  
Peritoneal Dialysis Patient ◽  
Catheter Placement ◽  
Peritoneal Dialysis Catheter ◽  
Tenckhoff Catheter ◽  
First Case ◽  
Venous Fistula ◽  
Stage Renal Disease ◽  
End Stage

Bullous pemphigoid (BP), a chronic autoimmune subepidermal blistering skin disease, has been described in end-stage renal disease patients requiring dialysis after the placement of an artero-venous fistula. We report a case of a novel onset of BP following a peritoneal dialysis abdominal Tenckhoff catheter placement. The 3-month treatment with systemic doxycycline and topical clobetasol propionate allowed a rapid disappearing of the blisters and left the patient free of symptoms in the follow-up. To our knowledge, this is the first case describing a new BP onset after a peritoneal dialysis catheter placement.

Scanning Electron Microscopy of Staphylococcus Epidermidis Adherence to Continuous Ambulatory Peritoneal Dialysis Catheters

1985 ◽  
Vol 43 ◽  
pp. 520-521
Author(s):  
William J. Lamoreaux ◽  
David L. Smalley ◽  
Larry M. Baddour ◽  
Alfred P. Kraus
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Staphylococcus Epidermidis ◽  
Sterile Saline ◽  
Intravascular Devices ◽  
Capd Patient ◽  
Scanning Electron

Infections associated with the use of intravascular devices have been documented and have been reported to be related to duration of catheter usage. Recently, Eaton et al. reported that Staphylococcus epidermidis may attach to silastic catheters used in continuous ambulatory peritoneal dialysis (CAPD) treatment. The following study presents findings using scanning electron microscopy (SEM) of S. epidermidis adherence to silastic catheters in an in vitro model. In addition, sections of polyvinyl chloride (PVC) dialysis bags were also evaluated by SEM.The S. epidermidis strain RP62A which had been obtained in a previous outbreak of coagulase-negative staphylococcal sepsis at local hospitals was used in these experiments. The strain produced surface slime on exposure to glucose, whereas a nonadherent variant RP62A-NA, which was also used in these studies, failed to produce slime. Strains were grown overnight on blood agar plates at 37°C, harvested from the surface and resuspended in sterile saline (0.85%), centrifuged (3,000 rpm for 10 minutes) and then washed twice in 0.1 M phosphate-buffered saline at pH 7.0. Organisms were resuspended at a concentration of ca. 106 CFU/ml in: a) sterile unused dianeal at 4.25% dextrose, b) sterile unused dianeal at 1.5% dextrose, c) sterile used dialysate previously containing 4.25% dextrose taken from a CAPD patient, and d) sterile used dialysate previously containing 1.5% dextrose taken from a CAPD patient.

Childhood bullous pemphigoid associated with chronic renal allograft rejection

1998 ◽  
Vol 138 (3) ◽  
pp. 547-548 ◽  
Author(s):  
Yamazaki ◽  
Yokozeki ◽  
Katayama ◽  
Komai ◽  
Hashimoto ◽  
...  
Keyword(s):  
Bullous Pemphigoid ◽  
Allograft Rejection ◽  
Renal Allograft ◽  
Renal Allograft Rejection

Bullous pemphigoid associated with cutaneous leukocytoclastic vasculitis

1998 ◽  
Vol 37 (12) ◽  
pp. 940-942 ◽  
Author(s):  
Trevor W. Beer ◽  
Harvey R. Smith ◽  
. Mbbs
Keyword(s):  
Bullous Pemphigoid ◽  
Leukocytoclastic Vasculitis
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