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Brucella and peritoneal dialysis related peritonitis: case report and review of literature

Suleyman Koz, Idris Sahin, Uner Kayabas

    Clinical Nephrology
    |April 6, 2013
    PubMed

    Insights

    Brucella peritonitis in peritoneal dialysis (PD) patients can be treated effectively without removing the PD catheter. Intraperitoneal amikacin combined with oral antibiotics offers a successful treatment strategy for Brucella peritonitis during PD.

    Area of Science:

    • Nephrology
    • Infectious Diseases
    • Microbiology

    Background:

    • Peritonitis is a serious complication for patients undergoing peritoneal dialysis (PD).
    • Brucella species are an uncommon but reported cause of infectious peritonitis in PD patients.
    • Optimal management strategies, particularly regarding the peritoneal dialysis catheter, remain unclear.

    Observation:

    • A case of Brucella peritonitis in a PD patient was observed.
    • The patient was treated with intraperitoneal amikacin and oral rifampicin and doxycycline.
    • The peritoneal dialysis catheter was intentionally left in place during treatment.

    Findings:

    • Successful resolution of Brucella peritonitis was achieved.
    • Treatment involved a combination of intraperitoneal and oral antibiotics.
    • The peritoneal dialysis catheter was preserved, avoiding the need for removal and reinsertion.

    Implications:

    • This case suggests that PD catheter removal may not be necessary for treating Brucella peritonitis.
    • Intraperitoneal amikacin combined with oral agents could be an effective therapeutic option.
    • Further research and case reviews are warranted to establish definitive treatment guidelines for Brucella peritonitis in PD patients.

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