Peritonitis due to Burkholderia gladioli
YanQing Tong1, LiLi Dou, ChuFeng Wang
1Department of Nephrology, The First Affilliated Hospital to Changchun University of Chinese Medicine, Changchun City, Jilin Province, China.
Diagnostic Microbiology and Infectious Disease
|July 27, 2013
Summary
Continuous ambulatory peritoneal dialysis (CAPD) peritonitis can be caused by the plant pathogen Burkholderia gladioli. Treatment with intraperitoneal antibiotics successfully resolved the infection without catheter removal.
Area of Science:
- Nephrology
- Infectious Diseases
- Microbiology
Background:
- Continuous ambulatory peritoneal dialysis (CAPD) is a vital treatment for end-stage renal disease.
- Peritonitis is a serious complication of CAPD, often caused by common bacteria.
- Identifying unusual pathogens is crucial for effective management.
Observation:
- A case of CAPD-related peritonitis was identified.
- The peritoneal effluent cultured positive for Burkholderia gladioli, a known plant pathogen.
- The patient presented with symptoms consistent with peritonitis.
Findings:
- Burkholderia gladioli was confirmed as the causative agent of peritonitis in this CAPD patient.
- Intraperitoneal administration of cefazolin and gentamicin led to the successful resolution of the peritonitis.
- The Tenckhoff catheter did not require removal for successful treatment.
Implications:
- CAPD effluent can be a source of contamination by unusual bacteria like Burkholderia gladioli.
- Peritonitis caused by Burkholderia gladioli in CAPD patients is treatable with standard intraperitoneal antibiotics.
- This case highlights the importance of considering a broader range of pathogens in CAPD peritonitis.
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