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피하 인슐린 치료 중이던 지속성 복막투석 환자에서 발생한 간피막하 지방증 1예
이승엽 ( Seung Yup Lee ),김현경 ( Hyun Kyung Kim ),강승모 ( Seung Mo Kang ),정종관 ( Jong Kwan Jung ),송은주 ( Eun Ju Song ),이소영 ( So Young Lee ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.5
Hepatic subcapsular steatosis is a rare and unique form of fatty change in the liver. It is a specific finding in diabetic patients receiving continuous ambulatory peritoneal dialysis (CAPD) and intraperitoneal insulin treatment. Intraperitoneal administration of insulin and high glucose cause a unique pattern of fatty infiltration in the subcapsular location of the liver. We report a case of hepatic subcapsular steatosis in a diabetic CAPD patient who has not received intraperitoneal insulin. A 63-year-old diabetic woman on CAPD presented with uncontrolled blood glucose. The patient received a total amount of 44 units of NPH via subcutaneous injection. Her initial blood chemistry showed mildly increased serum lipid profiles. Abdominal CT scan images and MRI revealed characteristic findings consistent with hepatic subcapsular steatosis. We report a case of hepatic subcapsular steatosis in a diabetic patient not taking intraperitoneal insulin who recovered through strict blood sugar control without changing dialysis modality.
복막투석 환자에서 발생한 Delftia acidovorans 복막염 1예
송은주 ( Eun Ju Song ),선춘식 ( Choon Sik Seon ),박세환 ( Se Hwan Park ),정종관 ( Jong Kwan Jung ),이소영 ( So Young Lee ),성수아 ( Su Ah Sung ),황영환 ( Young Hwan Hwang ),조영욱 ( Young Uk Cho ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.3
Delftia acidovarans is aerobic, nonfermentative Gram-negative rod commonly found in soil and water. Generally it is nonpathogenic but it unusually can cause bacteremia in immunocompromised patients. We present a case of peritonitis due to D. acidovorans in a patient on continuous ambulatory peritoneal dialysis. A 75-year-old woman was admitted with abdominal pain and cloudy peritoneal effluent. She was empirically treated with intraperitoneal (IP) cefazolin and ceftazidime, and then IP ceftazidime and oral ciprofloxacin, but peritonitis did not improve. Seven days after admission, D. acidovorans was identified from the peritoneal effluent, which was sensitive to amikacin, ceftazidime, ciprofloxacin and imipenem. Catheter removal was considered with regard to poor response to adequate antibiotics; however, 4 days after changing to IP imipenem/cilastatin, abdominal pain, the leukocyte count of peritoneal effluent and C-reactive protein decreased. She was treated with imipenem/cilastatin for two weeks and discharged with the dialysis catheter intact.