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Management of Salmonella peritonitis in a patient on peritoneal dialysis without catheter removal

Firas Fahad Al-Zahrani1, Hussain Al-Shahrani1, Ashwaq Al-Mohawes1

  • 1Department of Internal Medicine, Security Force Hospital, Dammam, Saudi Arabia.

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia
|April 17, 2018
PubMed

Insights

Salmonella peritonitis is a rare complication of peritoneal dialysis (PD). This case study details a successful treatment of Salmonella enteritidis peritonitis in a PD patient without removing the dialysis catheter.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Microbiology

Background:

  • Peritoneal dialysis (PD)-associated peritonitis is a significant cause of morbidity and mortality.
  • Gram-positive bacteria are the most common pathogens, followed by Gram-negative bacteria and fungi.
  • Salmonella peritonitis is exceptionally rare, accounting for only 0.15% of cases.

Observation:

  • A 68-year-old Sudanese female on PD presented with abdominal pain and diarrhea.
  • Diagnosis confirmed as Salmonella peritonitis.
  • The patient was successfully managed without the need for peritoneal dialysis catheter removal.

Findings:

  • This report details an extremely rare case of Salmonella peritonitis in a patient undergoing peritoneal dialysis.
  • The patient was infected with Salmonella enteritidis.
  • Successful management was achieved conservatively, preserving the PD catheter.

Implications:

  • Highlights the possibility of Salmonella as a causative agent in PD peritonitis, albeit rare.
  • Demonstrates that PD-associated Salmonella peritonitis can be treated effectively without catheter removal in select cases.
  • Emphasizes the importance of considering diverse pathogens in PD peritonitis and tailoring treatment strategies.

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