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Severe peritonitis caused by Citrobacter freundii and successful treatment with double antibiotic coverage

A Kataria1, E Saad1

  • 1Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.

Indian Journal of Nephrology
|April 4, 2015
PubMed

Insights

Peritonitis from Citrobacter freundii in peritoneal dialysis (PD) patients is rare and serious. This case highlights successful treatment with dual antibiotic therapy, preventing catheter removal.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Microbiology

Background:

  • Peritoneal dialysis (PD)-related peritonitis is a significant complication.
  • Common causative agents include Serratia, Pseudomonas/Providencia, and Enterobacter species.
  • High morbidity and mortality are associated with PD peritonitis.

Observation:

  • Citrobacter freundii peritonitis is an uncommon but severe PD complication.
  • This specific infection can necessitate catheter removal.
  • A case of PD-related peritonitis caused by C. freundii is presented.

Findings:

  • Successful treatment of C. freundii peritonitis was achieved.
  • The treatment regimen involved double antibiotic coverage.
  • Catheter salvage was accomplished despite the challenging pathogen.

Implications:

  • Double antibiotic coverage can be effective for C. freundii peritonitis.
  • This approach may help preserve PD catheter function.
  • Further research into optimal treatment strategies for rare PD pathogens is warranted.
Keywords:
AntimicrobialsCitrobacter freundiigram-negative organismperitoneal dialysisperitonitis

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