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Streptococcus salivarius peritonitis in an infant receiving chronic peritoneal dialysis

Edgar Barajas-Colon1, Bradley A Warady2

  • 1Nephrology Department, 61670Hospital Infantil de México Federico Gómez, Mexico City, Mexico.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|October 21, 2020
PubMed

Insights

Peritonitis is a common complication in children undergoing peritoneal dialysis. This case report details a rare instance of Streptococcus salivarius peritonitis successfully treated with vancomycin.

Area of Science:

  • Pediatric Nephrology
  • Infectious Diseases
  • Microbiology

Background:

  • Peritonitis is the most frequent infectious complication in pediatric patients undergoing chronic peritoneal dialysis (PD).
  • Gram-positive bacteria are the usual causative agents of PD-associated peritonitis.
  • Infection secondary to Streptococcus salivarius, a member of the Streptococcus viridans group, has not been previously documented.

Purpose of the Study:

  • To report a case of Streptococcus salivarius peritonitis in a pediatric patient on automated PD.
  • To highlight the successful treatment of this rare infection.
  • To emphasize the importance of subtyping Streptococcus viridans infections.

Main Methods:

  • Case report of a 4-month-old male infant undergoing automated PD.
  • Diagnosis of peritonitis confirmed.
  • Treatment administered: 14-day course of intraperitoneal vancomycin.

Main Results:

  • The patient developed peritonitis caused by Streptococcus salivarius.
  • The infection was successfully treated with intraperitoneal vancomycin over 14 days.
  • This represents the first reported case of S. salivarius peritonitis in a pediatric PD patient.

Conclusions:

  • Streptococcus salivarius can cause peritonitis in children undergoing PD.
  • Intraperitoneal vancomycin is an effective treatment for S. salivarius peritonitis.
  • Accurate identification and subtyping of Streptococcus viridans infections are crucial for appropriate patient management.

Keywords:
Peritoneal dialysisStreptococcus salivariusStreptococcus viridiansperitonitis

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