Brevundimonas vesicularis Peritonitis in a Chronic Peritoneal Dialysis Patient

Gram-negative peritonitis in chronic peritoneal dialysis patients is difficult to treat and may result in catheter loss. Brevundimonas vesicularis is a Gram-negative rod bacterium which rarely causes infections in humans. A 41-year-old male receiving continuous cycling peritoneal dialysis for 5 mont...

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Autores principales: Vijayakumar Paramasivam, Armando Paez, Ashish Verma, Daniel Landry, Gregory L. Braden
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Lenguaje:EN
Publicado: Karger Publishers 2021
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spelling oai:doaj.org-article:5c8e79a06e3d497497f4a2695825a7782021-11-11T10:40:45ZBrevundimonas vesicularis Peritonitis in a Chronic Peritoneal Dialysis Patient2296-970510.1159/000517140https://doaj.org/article/5c8e79a06e3d497497f4a2695825a7782021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/517140https://doaj.org/toc/2296-9705Gram-negative peritonitis in chronic peritoneal dialysis patients is difficult to treat and may result in catheter loss. Brevundimonas vesicularis is a Gram-negative rod bacterium which rarely causes infections in humans. A 41-year-old male receiving continuous cycling peritoneal dialysis for 5 months developed culture-negative peritonitis. He failed initial empiric treatment with intraperitoneal vancomycin and levofloxacin and thereafter intravenous gentamicin. B. vesicularis resistant to levofloxacin was isolated from the peritoneal fluid 21 days after his initial symptoms. Despite treatment with intravenous ceftriaxone and oral amoxicillin-clavulanate, the infection persisted, which required removal of the peritoneal catheter in order to cure this infection. We describe the features of B. vesicularis infection in our patient and the rarely reported additional cases.Vijayakumar ParamasivamArmando PaezAshish VermaDaniel LandryGregory L. BradenKarger Publishersarticleperitonitisperitoneal dialysisbrevundimonasDiseases of the genitourinary system. UrologyRC870-923ENCase Reports in Nephrology and Dialysis, Vol 11, Iss 3, Pp 314-320 (2021)
institution DOAJ
collection DOAJ
language EN
topic peritonitis
peritoneal dialysis
brevundimonas
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle peritonitis
peritoneal dialysis
brevundimonas
Diseases of the genitourinary system. Urology
RC870-923
Vijayakumar Paramasivam
Armando Paez
Ashish Verma
Daniel Landry
Gregory L. Braden
Brevundimonas vesicularis Peritonitis in a Chronic Peritoneal Dialysis Patient
description Gram-negative peritonitis in chronic peritoneal dialysis patients is difficult to treat and may result in catheter loss. Brevundimonas vesicularis is a Gram-negative rod bacterium which rarely causes infections in humans. A 41-year-old male receiving continuous cycling peritoneal dialysis for 5 months developed culture-negative peritonitis. He failed initial empiric treatment with intraperitoneal vancomycin and levofloxacin and thereafter intravenous gentamicin. B. vesicularis resistant to levofloxacin was isolated from the peritoneal fluid 21 days after his initial symptoms. Despite treatment with intravenous ceftriaxone and oral amoxicillin-clavulanate, the infection persisted, which required removal of the peritoneal catheter in order to cure this infection. We describe the features of B. vesicularis infection in our patient and the rarely reported additional cases.
format article
author Vijayakumar Paramasivam
Armando Paez
Ashish Verma
Daniel Landry
Gregory L. Braden
author_facet Vijayakumar Paramasivam
Armando Paez
Ashish Verma
Daniel Landry
Gregory L. Braden
author_sort Vijayakumar Paramasivam
title Brevundimonas vesicularis Peritonitis in a Chronic Peritoneal Dialysis Patient
title_short Brevundimonas vesicularis Peritonitis in a Chronic Peritoneal Dialysis Patient
title_full Brevundimonas vesicularis Peritonitis in a Chronic Peritoneal Dialysis Patient
title_fullStr Brevundimonas vesicularis Peritonitis in a Chronic Peritoneal Dialysis Patient
title_full_unstemmed Brevundimonas vesicularis Peritonitis in a Chronic Peritoneal Dialysis Patient
title_sort brevundimonas vesicularis peritonitis in a chronic peritoneal dialysis patient
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/5c8e79a06e3d497497f4a2695825a778
work_keys_str_mv AT vijayakumarparamasivam brevundimonasvesicularisperitonitisinachronicperitonealdialysispatient
AT armandopaez brevundimonasvesicularisperitonitisinachronicperitonealdialysispatient
AT ashishverma brevundimonasvesicularisperitonitisinachronicperitonealdialysispatient
AT daniellandry brevundimonasvesicularisperitonitisinachronicperitonealdialysispatient
AT gregorylbraden brevundimonasvesicularisperitonitisinachronicperitonealdialysispatient
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