PMC4083769_01
Time course of antibiotherapy and PD effluent parameters.
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Analyses of the peritoneal fluid demonstrated 740 white blood cells (WBC)/mm3 (predominantly polymorphonuclear neutrophils) (Figure 1). According to the bacterial sensitivity of S. capitis, gentamicin was stopped after 5 days and the patient was discharged from the hospital on intermittent intraperitoneal vancomycin treatment (Figure 1). Amikacin (1/48 hrs I.V.) and oral ciprofloxacin (250 mg, twice daily) were followed for six months with a good and sustained clinical response (Figure 1).
Radiologic findings. (a) Abdominal X-ray showing the PD catheter tip position in the right iliac fossa (white arrow). (b) Computerised tomography of the abdomen, showing the catheter tip resting in close contact with the pelvic wall and the colon (white arrow). (c) Computerised tomography of the abdomen, showing inflamed fat and bowel wall thickening (small white arrow).
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Abdominal CT scan demonstrated the PD catheter tip resting against the pelvic wall and the colon with inflamed fat and bowel wall thickening (Figure 2).