We report a patient with continuous cycling peritoneal dialysis (CCPD)-associated peritonitis caused by A. xylosoxidans who successfully received a renal transplant during his peritonitis treatment course and cleared his peritoneal infection. This is the first case of A. xylosoxidans-related CCPD peritonitis who was successfully transplanted.

Fibrillary glomerulonephritis (FGN) is a rare cause of glomerulonephritis with poor prognosis. No standard treatment exists. We report a case of crescentic FGN presenting as rapidly progressing renal failure needing hemodialysis and treated based on Euro lupus nephritis trial protocol of low dose cyclophosphamide and glucocorticoid for induction followed by azathioprine maintenance. Patient responded very well to this therapy and was able to get off hemodialysis and continues with stable stage 3 CKD after 1 year follow up.

Background and Objectives. High-intensity ICU staffing model is associated with quality and outcome improvements. Restrictive red blood cell (RBC) transfusion strategies have been shown to have equivalent mortality to a more liberal strategy in the ICU. We examined the effect of high-intensity staffing on pretransfusion hemoglobin levels, RBC transfusion rates and length of ICU stay. Materials and Methods. The study was a retrospective chart review (n = 196) of all patients admitted to the adult medical/surgical ICU for more than 24 hours one year prior to and after institution of the high-intensity staffing model. Results. Matched for demographics and diagnosis, RBC transfusion rates pre- versus postinstitution of the high-intensity staffing model was 42% versus 27%, respectively, and pretransfusion hemoglobin levels were lower (8.94 to 7.39 g/dL). Length of stay was 4.1 days pre–high-intensity staffing and 4.0 days post–high-intensity staffing. Conclusions. High-intensity ICU staffing resulted in fewer RBC transfusions and lower transfusion thresholds. This restrictive RBC transfusion strategy had no adverse effects on patient ICU length of stay.