Peritonitis by Chryseobacterium indologenes and Sphingomonas paucimobilis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD).
- Author:
Jeong Soo YOON
1
;
Eun Ah HWANG
;
Mi Hyun CHANG
;
Woo Young PARK
;
Kyu Bok JIN
;
Seung Yeup HAN
;
Sung Bae PARK
;
Hyun Chul KIM
;
Nam Hee RYOO
Author Information
1. Department of Internal Medicine, Keimyung university school of medicine, Korea. dki@dsmc.or.kr
- Publication Type:In Vitro ; Case Report
- Keywords:
Chryseobacterium;
Sphingomonas;
Peritoneal dialysis;
Peritonitis
- MeSH:
Abdominal Pain;
Anti-Bacterial Agents;
Bacillus;
Catheters;
Chryseobacterium*;
Fever;
Hospitalization;
Humans;
Kidney Failure, Chronic;
Middle Aged;
Peritoneal Dialysis;
Peritoneal Dialysis, Continuous Ambulatory*;
Peritonitis*;
Sphingomonas*
- From:Korean Journal of Nephrology
2007;26(6):801-805
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bacterial peritonitis is a well-recognized complication of continuous ambulatory peritoneal dialysis (CAPD) in patients with end-stage renal failure. Chryseobacterium indologenes is a non-fermentative Gram-negative bacillus that is a rare pathogen in humans and Sphinomomas paucimobilis has rarely been reported as an opportunistic human pathogen. We present a case of peritonitis due to unusual pathogens, C. indologenes and S. paucimobilis, unresponsive to the standard antibiotics therapy. A 51-year-old diabetic man undergoing CAPD for 45 days developed the first peritonitis due to C. indolegenes. Although he had received intraperitoneal antibiotics with good in vitro activity against organism, the signs of peritonitis persisted. S. paucimobilis was isolated from dialysate sample. The Tenckhoff catheter was finally removed on 19th day of hospitalization and the fever and abdominal pain subsided.
