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Infectious Disease Reports
Volume 12
Issue 1
10.4081/idr.2020.8376
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Infectious Disease Reports is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Peritonitis from Facultative Anaerobic Gram-Negative Bacilli Likely due to Translocation of Bacteria from Gut in a Patient Undergoing Peritoneal Dialysis

by
Sreedhar Adapa
1,*,
Srikanth Naramala
2,
Harmandeep Singh Tiwana
3,
Niraj Patel
4,
Raman Verma
4,
Narayana Murty Koduri
5 and
Venu Madhav Konala
6
1
The Nephrology Group, Fresno, CA, USA
2
Department of Rheumatology, Adventist Medical Center, Hanford, CA, USA
3
Department of Internal Medicine, Adventist Medical Center, Hanford, CA, USA
4
Department of Internal Medicine, Kaweah Delta Medical Center, Visalia, CA, USA
5
Department of Psychiatry, Great Plains Health, North Platte, NE, USA
6
Ashland Bellefonte Cancer Center, Ashland, KY, USA
*
Author to whom correspondence should be addressed.
Infect. Dis. Rep. 2020, 12(1), 8376; https://doi.org/10.4081/idr.2020.8376
Submission received: 10 November 2019 / Revised: 5 March 2020 / Accepted: 25 March 2020 / Published: 16 April 2020

Abstract

The peritonitis caused by gram-negative organisms is a serious complication encountered in patients undergoing peritoneal dialysis, often causing high morbidity and mortality. There has been recognition of peritonitis caused by uncommon organisms because of improved microbiological detection techniques. The healthcare providers involved in the management of these patients should be very vigilant. We report a rare case of peritonitis caused bycA 42-year-old male on peritoneal dialysis for five years presented with abdominal pain and cloudy effluent. The peritoneal fluid analysis was consistent with peritonitis, and peritoneal fluid culture grew Citrobacter freundii. The patient was treated with two courses of double antibiotic coverage with intraperitoneal ceftazidime and oral ciprofloxacin, which failed to resolve the infection and hence resulted in the removal the peritoneal dialysis catheter and dialysis modality change.
Keywords: Citrobacter freundii; Peritonitis; SPICE organisms; peritoneal dialysis Citrobacter freundii; Peritonitis; SPICE organisms; peritoneal dialysis

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MDPI and ACS Style

Adapa, S.; Naramala, S.; Tiwana, H.S.; Patel, N.; Verma, R.; Koduri, N.M.; Konala, V.M. Peritonitis from Facultative Anaerobic Gram-Negative Bacilli Likely due to Translocation of Bacteria from Gut in a Patient Undergoing Peritoneal Dialysis. Infect. Dis. Rep. 2020, 12, 8376. https://doi.org/10.4081/idr.2020.8376

AMA Style

Adapa S, Naramala S, Tiwana HS, Patel N, Verma R, Koduri NM, Konala VM. Peritonitis from Facultative Anaerobic Gram-Negative Bacilli Likely due to Translocation of Bacteria from Gut in a Patient Undergoing Peritoneal Dialysis. Infectious Disease Reports. 2020; 12(1):8376. https://doi.org/10.4081/idr.2020.8376

Chicago/Turabian Style

Adapa, Sreedhar, Srikanth Naramala, Harmandeep Singh Tiwana, Niraj Patel, Raman Verma, Narayana Murty Koduri, and Venu Madhav Konala. 2020. "Peritonitis from Facultative Anaerobic Gram-Negative Bacilli Likely due to Translocation of Bacteria from Gut in a Patient Undergoing Peritoneal Dialysis" Infectious Disease Reports 12, no. 1: 8376. https://doi.org/10.4081/idr.2020.8376

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