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Double zoonotic peritonitis
Seyed-Ali Sadjadi1, Paz Obedoza, Rommell Devera
1Jerry L Pettis Memorial VA Medical Center, Loma Linda University School of Medicine, Loma Linda, CA, U.S.A.
The American Journal of Case Reports
|April 10, 2013
Summary
Peritonitis remains a significant risk for peritoneal dialysis patients, with unusual infections like those caused by Pasturella multocida and Capnocytophag becoming more common. Prompt diagnosis and treatment are crucial for managing these challenging cases.
Area of Science:
- Nephrology
- Infectious Diseases
- Microbiology
Background:
- Peritonitis is a persistent complication for patients undergoing peritoneal dialysis.
- While overall incidence has declined, there's a rise in infections caused by uncommon microorganisms.
Purpose of the Study:
- To report a case of recurrent peritonitis caused by two rare organisms in a peritoneal dialysis patient.
- To discuss the clinical and microbiological aspects of Pasturella multocida and Capnocytophag infections in this context.
Main Methods:
- Case report of an 83-year-old male with end-stage renal disease on peritoneal dialysis.
- The patient presented with recurrent peritonitis due to simultaneous Pasturella multocida and Capnocytophag infection.
- Treatment involved antibiotics and eventual removal of the peritoneal dialysis catheter due to poor response.
Main Results:
- The patient experienced recurrent peritonitis despite antibiotic therapy.
- Simultaneous infection with Pasturella multocida and Capnocytophag was diagnosed.
- Peritoneal dialysis catheter removal was necessary due to treatment failure.
Conclusions:
- Uncommon organisms are increasingly implicated in peritonitis among peritoneal dialysis patients.
- Pet ownership may pose a risk for peritoneal dialysis patients due to potential zoonotic infections.
- Awareness and vigilance are necessary for managing peritonitis with unusual pathogens.
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