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Fatal peritonitis due to group B beta-hemolytic streptococcus in a patient receiving chronic ambulatory peritoneal

S I Borra1, J Chandarana, M Kleinfeld

  • 1Department of Medicine, Kingsbrook Jewish Medical Center, Brooklyn, NY.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|April 1, 1992
PubMed

Insights

Group B beta-hemolytic streptococcus rarely causes peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients. This rare infection can be severe and rapidly fatal, even without typical risk factors.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Peritonitis is a serious complication in patients undergoing continuous ambulatory peritoneal dialysis (CAPD).
  • Group B beta-hemolytic streptococcus is an uncommon pathogen causing CAPD peritonitis.

Observation:

  • A 52-year-old male patient with chronic glomerulonephritis developed peritonitis.
  • The patient had no common predisposing factors for severe infections, including diabetes, malignancy, HIV, or liver disease.

Findings:

  • The peritonitis was caused by group B beta-hemolytic streptococcus.
  • Despite the rarity of this pathogen, the infection proved rapidly fatal.

Implications:

  • This case highlights that group B beta-hemolytic streptococcus, though rare, can cause overwhelming and fatal peritonitis in CAPD patients.
  • Clinicians should consider this pathogen in CAPD peritonitis, even in the absence of typical risk factors.
  • Prompt recognition and management are crucial due to the potential for rapid deterioration.

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