{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T23:11:11Z","timestamp":1694646671394},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,8,11]],"date-time":"2013-08-11T00:00:00Z","timestamp":1376179200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Peritonitis is a significant complication of peritoneal dialysis (<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>) and the most common cause of technique failure. Panton\u2010Valentine leukocidin (<jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content>), a cytotoxin produced by certain strains of <jats:italic>Staphylococcus aureus<\/jats:italic> (<jats:styled-content style=\"fixed-case\">SA<\/jats:styled-content>), causes destruction of neutrophils, and is associated with severe invasive infections. We present a 2.5\u2010year\u2010old girl on <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>, who presented suddenly with an unusually fulminant and protracted course of peritonitis. Only a few hours after the onset of clinical signs, septic shock developed. <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content>\u2010positive methicillin\u2010sensitive <jats:styled-content style=\"fixed-case\">SA<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">MSSA<\/jats:styled-content>) was grown and initial empiric antibiotic treatment changed to flucloxacillin and rifampicin in order to minimize toxin production. In spite of adequate antibiotic treatment and <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\u2010catheter removal, recovery was slow. No <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\u2010related peritonitis in children associated with <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content>\u2010producing strains have been reported so far and no specific recommendation exists for treatment. We speculate that <jats:styled-content style=\"fixed-case\">PVL<\/jats:styled-content> contributed to the severity and outcome of peritonitis in our patient.<\/jats:p>","DOI":"10.1111\/1744-9987.12092","type":"journal-article","created":{"date-parts":[[2013,8,12]],"date-time":"2013-08-12T04:28:56Z","timestamp":1376281736000},"page":"431-437","source":"Crossref","is-referenced-by-count":0,"title":["Fulminant Peritonitis Presumably Caused by Panton\u2010Valentine Leukocidin\u2010Positive <i>Staphylococcus aureus<\/i> in a Girl on Peritoneal Dialysis"],"prefix":"10.1111","volume":"17","author":[{"given":"Nina","family":"Battelino","sequence":"first","affiliation":[{"name":"Department of Pediatric Nephrology University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marko","family":"Pokorn","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nata\u0161a","family":"\u0160vent\u2010Ku\u010dina","sequence":"additional","affiliation":[{"name":"Institute of Microbiology and Immunology Medical Faculty University of Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronika","family":"Kri\u017ean\u2010Hergouth","sequence":"additional","affiliation":[{"name":"Institute of Microbiology and Immunology Medical Faculty University of Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregor","family":"Novljan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,8,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrneph.2011.135"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-008-1113-6"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2006101158"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2011.00091"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.01201-06"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1271\/bbb.68.981"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2009.05.003"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.43.12.6147-6149.2005"},{"key":"e_1_2_5_10_1","first-page":"2018","volume-title":"Clinical Microbiology Procedures Handbook","author":"Leber AL","year":"2010"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.33.9.2233-2239.1995"},{"key":"e_1_2_5_12_1","unstructured":"NAPRTCS Annual Report.North American pediatric renal trials and collaborative studies.2011. 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