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Microbacterium Peritonitis in Peritoneal Dialysis: A Case Report and Review

Philip W Lam1, David M Naimark2,3, Jerome A Leis2,4

  • 1Department of Medicine, University of Toronto, Toronto, Ontario, Canada philip.lam@one-mail.on.ca.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|January 10, 2018
PubMed

Insights

Peritoneal dialysis-related peritonitis (PDRP) can be caused by Microbacterium paraoxydans. Managing PDRP from Microbacterium species presents challenges due to recurrent infections and limited susceptibility data.

Area of Science:

  • Microbiology
  • Nephrology
  • Infectious Diseases

Background:

  • Peritoneal dialysis-related peritonitis (PDRP) is a frequent complication in patients on peritoneal dialysis (PD).
  • Identifying the causative pathogen is crucial for effective treatment and patient management.
  • Microbacterium species, aerobic gram-positive bacilli, are increasingly detected in clinical settings due to enhanced diagnostics.

Observation:

  • This report details a case of PDRP caused by Microbacterium paraoxydans.
  • The study reviews the epidemiology and clinical presentation of Microbacterium-associated PDRP.
  • Current evidence regarding treatment strategies for this specific pathogen is examined.

Findings:

  • Microbacterium paraoxydans was identified as the causative agent of PDRP in the presented case.
  • Management of PDRP due to Microbacterium species is complicated by a high incidence of recurrent infections.
  • Limited data on antimicrobial susceptibility testing for Microbacterium species poses therapeutic challenges.

Implications:

  • This case highlights the importance of considering less common organisms like Microbacterium in PDRP etiology.
  • Further research is needed to establish optimal antimicrobial regimens and susceptibility breakpoints for Microbacterium species in PDRP.
  • Improved diagnostic and therapeutic strategies are required to address the challenges in managing Microbacterium-related PDRP.
Keywords:
Microbacterium paraooxydansperitoneal dialysisperitonitis

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