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  1. Article ; Online: Recurrent Ochrobactrum anthropi and Shewanella putrefaciens bloodstream infection complicating hemodialysis.

    Shrishrimal, Kumarpal

    Hemodialysis international. International Symposium on Home Hemodialysis

    2012  Volume 16, Issue 1, Page(s) 113–115

    Abstract: Bloodstream infections (BSIs) are common in hemodialysis, especially when the access is a catheter. These infections are more commonly gram-positive bacteria or gram-negative bacilli and on some occasions, fungi. Ochrobactrum anthropi and Shewanella ... ...

    Abstract Bloodstream infections (BSIs) are common in hemodialysis, especially when the access is a catheter. These infections are more commonly gram-positive bacteria or gram-negative bacilli and on some occasions, fungi. Ochrobactrum anthropi and Shewanella putrefaciens are ubiquitous hydrophilic gram-negative bacilli. There have been three cases of O. anthropi BSI reported in hemodialysis patients (one from the United States and two from Vienna) and two cases of S. putrefaciens BSI in hemodialysis patients (one from the United States and the other from Japan). There have been few more cases reported of infections with these bacteria in peritoneal dialysis, especially outside the United States. We present a novel case of a patient with both recurrent O. anthropi and S. putrefaciens BSI complicating hemodialysis. There have been no reports in the literature of such a case. We also discuss the microbiology, clinical features, and the challenging aspects of treatment of such infections.
    MeSH term(s) Aged ; Bacteremia/etiology ; Gram-Negative Bacterial Infections/etiology ; Humans ; Male ; Ochrobactrum anthropi/isolation & purification ; Recurrence ; Renal Dialysis/adverse effects ; Shewanella putrefaciens/isolation & purification
    Language English
    Publishing date 2012-01
    Publishing country Canada
    Document type Case Reports ; Journal Article
    ZDB-ID 2192458-2
    ISSN 1542-4758 ; 1492-7535
    ISSN (online) 1542-4758
    ISSN 1492-7535
    DOI 10.1111/j.1542-4758.2011.00586.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Sulfamethoxazole crystalluria.

    Shrishrimal, Kumarpal / Wesson, Jeffrey

    American journal of kidney diseases : the official journal of the National Kidney Foundation

    2011  Volume 58, Issue 3, Page(s) 492–493

    MeSH term(s) Acute Kidney Injury/chemically induced ; Anti-Infective Agents/adverse effects ; Crystallization ; Humans ; Hydrogen-Ion Concentration ; Leg Injuries/therapy ; Spectrophotometry, Infrared ; Sulfamethoxazole/adverse effects ; Trimethoprim, Sulfamethoxazole Drug Combination/adverse effects ; Urine/chemistry
    Chemical Substances Anti-Infective Agents ; Trimethoprim, Sulfamethoxazole Drug Combination (8064-90-2) ; Sulfamethoxazole (JE42381TNV)
    Language English
    Publishing date 2011-07-30
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 604539-x
    ISSN 1523-6838 ; 0272-6386
    ISSN (online) 1523-6838
    ISSN 0272-6386
    DOI 10.1053/j.ajkd.2011.06.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Managing diabetes in hemodialysis patients: observations and recommendations.

    Shrishrimal, Kumarpal / Hart, Peter / Michota, Franklin

    Cleveland Clinic journal of medicine

    2009  Volume 76, Issue 11, Page(s) 649–655

    Abstract: Diabetes is challenging to manage in patients who have end-stage renal disease (ESRD), as both uremia and dialysis can complicate glycemic control by affecting the secretion, clearance, and peripheral tissue sensitivity of insulin. The authors summarize ... ...

    Abstract Diabetes is challenging to manage in patients who have end-stage renal disease (ESRD), as both uremia and dialysis can complicate glycemic control by affecting the secretion, clearance, and peripheral tissue sensitivity of insulin. The authors summarize the available evidence and make practical recommendations.
    MeSH term(s) Blood Glucose/metabolism ; Contraindications ; Diabetes Mellitus/therapy ; Dialysis Solutions/adverse effects ; Dialysis Solutions/chemistry ; Glucose/adverse effects ; Glycated Hemoglobin A/analysis ; Humans ; Hypoglycemic Agents/classification ; Hypoglycemic Agents/therapeutic use ; Insulin/metabolism ; Insulin/therapeutic use ; Insulin Secretion ; Kidney Failure, Chronic/etiology ; Kidney Failure, Chronic/therapy ; Renal Dialysis/adverse effects ; Uremia/complications
    Chemical Substances Blood Glucose ; Dialysis Solutions ; Glycated Hemoglobin A ; Hypoglycemic Agents ; Insulin ; Glucose (IY9XDZ35W2)
    Language English
    Publishing date 2009-10-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639116-3
    ISSN 1939-2869 ; 0891-1150
    ISSN (online) 1939-2869
    ISSN 0891-1150
    DOI 10.3949/ccjm.76a.09054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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