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Nephrol Dial Transplant (2001) 16: 2429-2430
© 2001 European Renal Association-European Dialysis and Transplant Association

Nephroquiz for the Beginner

Recurrent Escherichia coli bacteraemia in a patient with chronic renal failure

(Section Editor: M. G. Zeier)

Adekola Adedeji1, Chinari P.K. Subudhi1, Alastair J. Hutchison2, James P. Burnie1 and Jonathan R. Kerr1

Departments of 1 Medical Microbiology and 2 Renal Medicine Manchester Royal Infirmary UK

Case

In July 1997, a 64-year-old Afro-Caribbean woman with chronic renal failure (CRF) managed by peritoneal dialysis presented with abdominal discomfort, weight loss, poor appetite, nausea, vomiting and pruritis. She had had chronic joint pain for many years which was treated with anti-inflammatory drugs, extensive and prolonged use of which was thought to have led to development of CRF. She described a 6–8 year history of vague abdominal pains which became subacute on occasion. Previous investigations, however, had not identified a cause. On this occasion her blood urea was high and this was thought to account for her symptoms and, . . . [Full Text of this Article]

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