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[Peritonitis caused by Nocardia farcinica in a patient undergoing continuous ambulatory peritoneal dialysis (note)]
1Laboratoire de bactériologie médicale, Institut Pasteur Algérie.
Abstract:
We report here an isolation of bacteria genus Nocardia, Nocardia farcinica, in a dialysis liquid of a renal insufficiency patient treated by continuous ambulatory peritoneal dialysis (C.A.P.D.). Real peritonitis was due to infection with this bacteria, eliminated after an adapted antibiotherapy. This observation is interesting first because of the rare occurrence of Nocardia's peritonitis in the patients on CAPD, and secondly in relation with the species of Nocardia, Nocardia farcinica, less known than Nocardia asteroides but not less pathogenic.
Insights
Nocardia farcinica bacteria caused peritonitis in a patient undergoing continuous ambulatory peritoneal dialysis (C.A.P.D.). Prompt antibiotic treatment successfully cleared the rare Nocardia peritonitis infection.
Area of Science:
- Medical Microbiology
- Nephrology
- Infectious Diseases
Background:
- Continuous ambulatory peritoneal dialysis (C.A.P.D.) is a common treatment for end-stage renal disease.
- Peritonitis is a known complication of C.A.P.D., often caused by common bacteria.
- Nocardia infections are rare in C.A.P.D. patients.
Observation:
- A patient on C.A.P.D. presented with peritonitis.
- Nocardia farcinica was isolated from the patient's dialysis fluid.
- Nocardia farcinica is less commonly reported in C.A.P.D. peritonitis compared to Nocardia asteroides.
Findings:
- The patient's peritonitis was confirmed to be caused by Nocardia farcinica.
- An adapted antibiotic therapy was administered to the patient.
- The Nocardia farcinica infection was successfully eradicated following treatment.
Implications:
- This case highlights the potential for Nocardia farcinica to cause peritonitis in C.A.P.D. patients.
- Early diagnosis and appropriate antibiotic selection are crucial for managing Nocardia peritonitis.
- Further research may be needed to understand the prevalence and optimal treatment of Nocardia species in C.A.P.D.-associated peritonitis.