Kidney Research and Clinical Practice  2012;31(2):121-123

Consecutive episodes of peritonitis in a patient undergoing peritoneal dialysis caused by unusual organisms: Brevibacterium and Pantoea agglomerans.

Joon Seok CHOI 1 ; Chang Seong KIM ; Jeong Woo PARK ; Eun Hui BAE ; Seong Kwon MA ; Soo Wan KIM

Affiliations

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Keywords

Brevibacterium; Pantoea agglomerans; Peritoneal dialysis; Peritonitis

Country

Republic of Korea

Language

English

Abstract

A 52-year-old man undergoing continuous ambulatory peritoneal dialysis presented with two consecutive episodes of peritonitis caused by unusual organisms, namely, Brevibacterium and Pantoea agglomerans. The patient was successfully treated with a 2-week course of cefazolin and ceftazidime for the Brevibacterium-associated peritonitis, and a 3-week course of gentamicin for the P. agglomerans-associated peritonitis. Although these environmental organisms are rarely responsible for human infection, the number of reported cases of human infection by these unusual organisms has increased. This report emphasizes the potential for infection by environmental organisms in patients undergoing peritoneal dialysis.