A case of Sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature

Abstract Background Peritoneal dialysis (PD)-associated peritonitis caused by Sphingomonas paucimobilis (S. paucimobilis) is very rare, and most of the characteristics of such cases are still unknown. Case presentation An 80-year-old Japanese woman on PD was diagnosed with PD-associated peritonitis...

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Autores principales: Chiharu Kinoshita, Koichi Matsuda, Yumiko Kawai, Takayuki Hagiwara, Akane Okada
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/9ab4d09d91ee4a16acb3c6da13960080
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spelling oai:doaj.org-article:9ab4d09d91ee4a16acb3c6da139600802021-11-21T12:40:12ZA case of Sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature10.1186/s41100-021-00375-32059-1381https://doaj.org/article/9ab4d09d91ee4a16acb3c6da139600802021-11-01T00:00:00Zhttps://doi.org/10.1186/s41100-021-00375-3https://doaj.org/toc/2059-1381Abstract Background Peritoneal dialysis (PD)-associated peritonitis caused by Sphingomonas paucimobilis (S. paucimobilis) is very rare, and most of the characteristics of such cases are still unknown. Case presentation An 80-year-old Japanese woman on PD was diagnosed with PD-associated peritonitis and received ceftazidime and cefazolin. The number of cells in the peritoneal dialysate decreased quickly. However, because S. paucimobilis was detected, the antibiotic was changed to meropenem according to the susceptibility test results. She was treated with meropenem for two weeks and discharged. After 21 days, she was hospitalized for relapsing peritonitis. S. paucimobilis was detected again, and improvement after the administration of meropenem was poor, eventually resulting in catheter removal. Conclusions S. paucimobilis may be resistant to empirical antibiotics; furthermore, catheter removal may still be required, even with sensitive-antibiotic treatment.Chiharu KinoshitaKoichi MatsudaYumiko KawaiTakayuki HagiwaraAkane OkadaBMCarticleDiseases of the genitourinary system. UrologyRC870-923ENRenal Replacement Therapy, Vol 7, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Diseases of the genitourinary system. Urology
RC870-923
Chiharu Kinoshita
Koichi Matsuda
Yumiko Kawai
Takayuki Hagiwara
Akane Okada
A case of Sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature
description Abstract Background Peritoneal dialysis (PD)-associated peritonitis caused by Sphingomonas paucimobilis (S. paucimobilis) is very rare, and most of the characteristics of such cases are still unknown. Case presentation An 80-year-old Japanese woman on PD was diagnosed with PD-associated peritonitis and received ceftazidime and cefazolin. The number of cells in the peritoneal dialysate decreased quickly. However, because S. paucimobilis was detected, the antibiotic was changed to meropenem according to the susceptibility test results. She was treated with meropenem for two weeks and discharged. After 21 days, she was hospitalized for relapsing peritonitis. S. paucimobilis was detected again, and improvement after the administration of meropenem was poor, eventually resulting in catheter removal. Conclusions S. paucimobilis may be resistant to empirical antibiotics; furthermore, catheter removal may still be required, even with sensitive-antibiotic treatment.
format article
author Chiharu Kinoshita
Koichi Matsuda
Yumiko Kawai
Takayuki Hagiwara
Akane Okada
author_facet Chiharu Kinoshita
Koichi Matsuda
Yumiko Kawai
Takayuki Hagiwara
Akane Okada
author_sort Chiharu Kinoshita
title A case of Sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature
title_short A case of Sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature
title_full A case of Sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature
title_fullStr A case of Sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature
title_full_unstemmed A case of Sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature
title_sort case of sphingomonas paucimobilis causing peritoneal dialysis-associated peritonitis and review of the literature
publisher BMC
publishDate 2021
url https://doaj.org/article/9ab4d09d91ee4a16acb3c6da13960080
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