Vibrio fluvialis peritonitis in a patient receiving continuous ambulatory peritoneal dialysis

Area of Science:

• Infectious Diseases
• Nephrology
• Microbiology

Background:

• Continuous ambulatory peritoneal dialysis (CAPD) is a common renal replacement therapy.
• Peritonitis is a serious complication of CAPD, often caused by bacterial infections.
• Vibrio species are known to cause infections, particularly after seafood consumption or exposure to marine environments.

Observation:

• A case of peritonitis is presented in a patient undergoing CAPD.
• The patient had a history of consuming poorly prepared seafood.
• The causative agent was identified as Vibrio fluvialis.

Findings:

• Vibrio fluvialis was confirmed as the cause of peritonitis in this CAPD patient.
• The infection was strongly suspected to be associated with the ingestion of contaminated seafood.
• This represents an uncommon but noteworthy cause of recurrent peritonitis in the context of CAPD.

Implications:

• Highlights the potential risk of Vibrio fluvialis infections in CAPD patients, particularly with dietary indiscretions.
• Suggests that seafood-associated Vibrio infections should be considered in the differential diagnosis of peritonitis in CAPD patients.
• Emphasizes the importance of food safety practices, especially for immunocompromised individuals undergoing dialysis.