Bacterial peritonitis is a common complication in CAPD patients. Skin bacteria such as Staphylococci are most usually found in PD peritonitis cultures. Also Streptococci and Gram negative rods are found. Pasteurella multocida is an aerobic Gram negative coccobacillus found as natural oral flora in cats and dogs and other domestic and wild animals. We report a patient who developed peritoneal dialysis associated peritonitis induced by Pasteurella multocida, that was isolated from de dialysis effluent. This pathogen is very unfrequent in CAPD infections, in the literature there are about 33 cases. This is the first case reported in Argentina. 1
Acute kidney injury (AKI) and chronic kidney disease (CKD) are more common in HIV-infected patients than in the general population. We observed an HIV(+) young man who presents an unusual cause of acute renal injury (obstructive uropathy as a consequence of lithiases secondary to antiretroviral therapy). The differential diagnosis of kidney diseases associated with HIV infections includes: glomerular, tubular and interstitial causes. A renal biopsy is a useful tool in the diagnostic approach. Nephrologists and urologists must be aware of HIV-related renal affection, including toxicity related to HAART schedules.
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