A case of peritoneal dialysis-related peritonitis caused by dialysate leakage with successful treatment by intravenous and intraperitoneal antibiotic therapy

2021 ◽  
Author(s):  
Kenji Ueki ◽  
Akihiro Tsuchimoto ◽  
Kumiko Torisu ◽  
Kiichiro Fujisaki ◽  
Sayaka Tachibana ◽  
...  
2017 ◽  
Vol 37 (2) ◽  
pp. 241-242 ◽  
Author(s):  
Vaibhav Keskar ◽  
Mohan Biyani ◽  
Syed Obaid Amin ◽  
Greg Knoll

Morganella morganii is a rare cause of peritonitis in patients on peritoneal dialysis (PD). Most of the reported cases have resorted to a switch to hemodialysis. We herein report a case of peritonitis due to M. morganii resistant to third-generation cephalosporins, which was treated successfully with intraperitoneal (IP) tobramycin followed by oral ciprofloxacin. Early microbiologic diagnosis is essential in the treatment of peritonitis from rare microorganisms such as Morganella morganii, and appropriate antibiotic therapy is the key to avoiding catheter loss and subsequent switch to hemodialysis.


2016 ◽  
Vol 0 (1-2.30-31) ◽  
pp. 78
Author(s):  
V.I. Desiateryk ◽  
O.V. Kotov ◽  
O.V. Brovko ◽  
K.P. Alimov ◽  
O.A. Hul

2017 ◽  
Vol 37 (6) ◽  
pp. 654-656
Author(s):  
Miten J. Dhruve ◽  
Joanne M. Bargman

We present a peritoneal dialysis (PD) patient who had a renal biopsy performed during an episode of urosepsis and subsequently presented with a renal abscess at the biopsy site along with concurrent peritonitis. Microbiology from the PD effluent and from the renal abscess were both positive for Klebsiella pneumoniae. We propose that the PD peritonitis was the result of seeding of the peritoneal cavity with bacteria from the renal abscess. Successful treatment was achieved through drainage of the abscess and intraperitoneal antibiotics.


2021 ◽  
Vol 14 (3) ◽  
pp. e240272
Author(s):  
Rita Calça ◽  
Francisca Gomes da Silva ◽  
Ana Rita Martins ◽  
Patrícia Quadros Branco

Peritonitis remains a common and serious complication of peritoneal dialysis. Peritonitis caused by gram-positive organisms includes coagulase-negative staphylococci, Streptococcus spp and Enterococcus spp. We present a rare case of peritoneal dialysis-associated peritonitis, where persisting abdominal pain and worsening laboratory findings despite antibiotic therapy led to the identification of Enterococcus avium, requiring Tenckoff catheter removal and temporary transfer to haemodialysis. The available literature reports only few cases where peritonitis is caused by this agent, underlining the need to consider atypical microbial agents when heterogeneous clinical course is presented.


PEDIATRICS ◽  
1982 ◽  
Vol 69 (4) ◽  
pp. 432-435
Author(s):  
Richard F. Jacobs ◽  
Lee Adelman ◽  
Carolyn M. Sack ◽  
Christopher B. Wilson

Pseudomonas osteochondritis following puncture wounds of the foot is described in 13 children. All children had received at least one oral antibiotic and local wound therapy before admission; none had improved on these modalities. Pseudomonas aeruginosa was isolated alone from seven patients and with one or more other organisms from six patients. Initial administration of parenteral antibiotics active against Pseudomonas for one to 14 days did not result in clinical improvement. Eradication of Pseudomonas osteochondritis occurred in each patient only after thorough surgical debridement and curettage of all infected tissue. Following thorough surgical debridement, anti-Pseudomonas antibiotic therapy was continued for five to 14 days (10.8 ± 2.7 days). The successful treatment of Pseudomonas osteochondritis should include adequate surgical debridement of all infected tissue; following thorough debridement, only one to two weeks of anti-Pseudomonas antibiotic therapy appears to be necessary.


2018 ◽  
Vol 19 (1) ◽  
pp. 89-91
Author(s):  
Dejan Pilcevic

AbstractPeritonitis remains a major complication of peritoneal dialysis which is usually caused by saprophytic gram positive microorganisms originated from skin. Here, I report an unusual case of peritonitis due to Moraxella catarrhalis.A male, 59 age, on peritoneal dialysis modality because ESRD due to diabetic nephropathy was admitted to our hospital due to CAPD peritonitis. After initial empiric treatment and identification of this infrequent causer, he was submitted to two week antibiotic treatment with complete recovery and good prognosis.Peritonitis is the major cause of peritoneal dialysis failure which requires prompt recognition of the causative agent for successful treatment.


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Divya Prakash Gnanadhas ◽  
Monalisha Elango ◽  
S. Janardhanraj ◽  
C. S. Srinandan ◽  
Akshay Datey ◽  
...  

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