Brazilian Journal of Nephrology (Apr 2018)

Oral infection by Pseudomonas aeruginosa in patient with chronic kidney disease - a case report

  • Luana Carneiro Diniz Souza,
  • Fernanda Ferreira Lopes,
  • Eider Guimarães Bastos,
  • Cláudia Maria Coelho Alves

DOI
https://doi.org/10.1590/1678-4685-jbn-3812
Journal volume & issue
no. 0

Abstract

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ABSTRACT Chronic renal patients are more susceptible to hospital complications and infections such as urinary tract infections, peritonitis, surgery infections, and bacteremia, which are often caused by Pseudomonas aeruginosa. A case of a HIV-positive girl with chronic kidney disease and with serious oral lesions due to P. aeruginosa septic shock is presented. The patient showed necrotic lesions in the oral mucosa, pathological tooth mobility, bone loss, and hematogenous osteomyelitis in the maxilla. The patient was submitted to systemic antibiotic therapy based on screening culture and treatment of bone lesions by eliminating the causal agent and restoring health conditions. This case report is extremely important for health professionals, since the oral cavity can be affected by this pathogen or serve as a colonization site.

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