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Published on: December 18, 2010
Moraxella Catarrhalis peritonitis
Seyed-Ali Sadjadi1, Paz Obedoza, Pavan Annamarju
1Section of Nephrology, Jerry L Pettis Memorial Veterans Medical Center, Loma Linda University School of Medicine, Loma Linda, CA, U.S.A.
Background:
Peritonitis continues to be a major complication of peritonitis in peritoneal dialysis patients. Recent advances in connectology and better patient training have decreased the incidence of peritonitis in the last two decades. Peritonitis in PD patients is usually due to gram positive and less often due to gram negative organisms. Herein we report a case of peritonitis due to Moraxella Catarrhalis and review the literature on the diagnosis and treatment of this rare cause of peritonitis.
Case Report:
Our patient was a 56 year old man with end stage renal disease, on peritoneal dialysis, who was totally asymptomatic and on routine clinic visit was noted to have a high white blood cell count in his peritoneal fluid. Due to the nature of the organism, it took two weeks and two different microbiology laboratories to identify the organism and provide proper treatment.
Conclusions:
Peritonitis is the major cause of peritoneal dialysis failure and prompt recognition of the causative agent is of crucial importance to the proper and timely management of this complication.
Insights
Peritonitis, a complication in peritoneal dialysis (PD), can lead to PD failure. This case highlights Moraxella Catarrhalis as a rare cause of PD peritonitis, emphasizing the need for prompt identification and treatment.
Area of Science:
- Nephrology
- Infectious Diseases
- Microbiology
Background:
- Peritonitis remains a significant complication for patients undergoing peritoneal dialysis (PD).
- While advances have reduced peritonitis incidence, Gram-positive and Gram-negative bacteria are common culprits.
- This report focuses on a rare case of peritonitis caused by Moraxella Catarrhalis.
Purpose of the Study:
- To report a rare case of Moraxella Catarrhalis peritonitis in a peritoneal dialysis patient.
- To review the diagnostic and therapeutic strategies for this uncommon cause of peritonitis.
Main Methods:
- A 56-year-old end-stage renal disease patient on PD presented asymptomatically with elevated peritoneal fluid white blood cell count.
- Identification of Moraxella Catarrhalis required two weeks and testing at two separate microbiology laboratories.
Main Results:
- The patient was diagnosed with peritonitis due to Moraxella Catarrhalis.
- Delayed identification of the causative organism impacted timely treatment initiation.
Conclusions:
- Peritonitis is a primary cause of peritoneal dialysis failure.
- Rapid identification of the causative pathogen is critical for effective and timely management of PD-associated peritonitis.
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