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Peritonitis caused by Rothia mucilaginosa in a peritoneal dialysis patient
Elvira O Gosmanova1, Tiffani R Garrett, Barry M Wall
1Division of Nephrology (EOG, TRG, BMW), Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee; Division of Nephrology (BMW), Veterans Affairs Medical Center, Memphis, Tennessee.
Abstract:
Peritonitis is an important cause of morbidity in patients undergoing peritoneal dialysis. Rothia mucilaginosa has been reported as an unusual cause of peritoneal dialysis associated peritonitis. Difficulty in the management of this microorganism lies in the absence of uniform recommendations for anti-microbial therapy directed against this pathogen. The current report describes the clinical course of an episode of peritoneal dialysis associated peritonitis caused by Rothia mucilaginosa. Treatment options for this organism are summarized.
Insights
Rothia mucilaginosa is an uncommon cause of peritonitis in patients on peritoneal dialysis. This report details a case and summarizes treatment options for this challenging infection.
Area of Science:
- Nephrology
- Infectious Diseases
Background:
- Peritonitis is a significant complication for patients undergoing peritoneal dialysis.
- Unusual pathogens like Rothia mucilaginosa present management challenges.
Observation:
- This report details a clinical case of peritonitis caused by Rothia mucilaginosa in a peritoneal dialysis patient.
- The management of Rothia mucilaginosa infections is complicated by a lack of standardized antimicrobial therapy guidelines.
Findings:
- Rothia mucilaginosa is an infrequent but serious cause of peritoneal dialysis-associated peritonitis.
- Treatment strategies for Rothia mucilaginosa require careful consideration due to limited established protocols.
Implications:
- This case highlights the need for increased awareness of Rothia mucilaginosa as a cause of peritonitis in peritoneal dialysis.
- Summarizing treatment options may aid clinicians in managing this rare but difficult-to-treat infection.
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