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Mycoplasma edwardii peritonitis in a patient on maintenance peritoneal dialysis

Shwetal P Lalan, Bradley A Warady, Douglas Blowey

    Clinical Nephrology
    |September 18, 2013
    PubMed

    Insights

    Mycoplasma edwardii, a dog pathogen, caused polymicrobial peritonitis in a child after a dog-related injury. This highlights the risk of zoonotic infections from canine oral bacteria.

    Area of Science:

    • Veterinary Microbiology
    • Human Infectious Diseases
    • Zoonotic Infections

    Background:

    • Mycoplasma edwardii is an anthropozoonotic bacterium residing in dogs' respiratory and urogenital tracts.
    • Polymicrobial peritonitis is a serious abdominal infection requiring prompt medical intervention.

    Observation:

    • A 10-year-old child developed polymicrobial peritonitis.
    • The infection followed a puncture of dialysis tubing by a pet dog.
    • Microorganisms, including Mycoplasma edwardii, Kingella denitrificans, Actinomycetes species, and Capnocytophaga cynodegmi, were isolated from the child's peritoneal fluid.

    Findings:

    • Mycoplasma edwardii and other canine oral microflora were identified as causative agents of peritonitis in a human patient.
    • This case demonstrates the potential for zoonotic transmission of specific canine oral pathogens.

    Implications:

    • Highlights the importance of recognizing Mycoplasma edwardii as a potential zoonotic pathogen.
    • Underscores the risk of peritonitis from anthropozoonotic microorganisms in immunocompromised individuals or those with medical devices.
    • Emphasizes the need for vigilance regarding potential infections following animal-related injuries, especially in vulnerable populations.

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