Successful antibiotic treatment of Pseudomonas stutzeri-induced peritonitis without peritoneal dialysis catheter removal in continuous ambulatory peritoneal dialysis.
- Author:
Sung Wook PARK
1
;
Ji Hyeon BACK
;
Seoung Woo LEE
;
Joon Ho SONG
;
Chun Ho SHIN
;
Gyung Eun KIM
;
Moon Jae KIM
Author Information
1. Division of Nephrology and Hypertension, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. nhkimj@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Antibiotic treatment;
Peritoneal dialysis;
Peritonitis;
Pseudomonas stutzeri
- MeSH:
Aged, 80 and over;
Anti-Bacterial Agents;
Catheter-Related Infections;
Catheters;
Female;
Humans;
Korea;
Peritoneal Dialysis;
Peritoneal Dialysis, Continuous Ambulatory;
Peritonitis;
Pseudomonas;
Pseudomonas stutzeri;
Soil
- From:Kidney Research and Clinical Practice
2013;32(2):81-83
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pseudomonas stutzeri is a Gram-negative, rod-shaped, motile, single polar-flagellated, soil bacterium that was first isolated from human spinal fluid and is widely distributed in the environment. It was isolated as an uncommon opportunistic pathogen from humans, and a few cases of P. stutzeri-induced peritonitis have been reported in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Catheter removal with antibiotic treatment is generally recommended because peritonitis by Pseudomonas species is commonly associated with catheter-related infection. Here, we describe the first case of P. stutzeri-induced peritonitis in an 82-year-old woman in Korea. She had received two antipseudomonal antibiotics, an aminoglycoside (isepamicin, Yuhan corporation, Seoul, Korea) and a fluoroquinolone (ciprofloxacin), and was successfully treated without removal of the CAPD catheter.
