Successful treatment of Serratia Marcescens peritonitis in a patient receiving peritoneal dialysis

Ning Yang1, Longkai Li1

  • 1Department of Nephrology Liaoning Translational Medicine Center of Nephrology The First Affiliated Hospital of Dalian Medical University Dalian China.

Clinical Case Reports
|February 18, 2021
PubMed

Insights

A rare case of Serratia marcescens peritonitis in a peritoneal dialysis patient was successfully treated. Prompt antibiotic therapy, guided by culture results, overcame this virulent infection with a poor prognosis.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Microbiology

Background:

  • Peritoneal dialysis is a crucial treatment for end-stage renal disease.
  • Serratia marcescens peritonitis is a rare but serious complication in peritoneal dialysis patients.
  • This infection is associated with significant morbidity and mortality.

Observation:

  • An elderly male undergoing peritoneal dialysis developed Serratia marcescens peritonitis.
  • The patient presented with a condition typically associated with a poor prognosis.
  • Initial diagnosis was confirmed through microbial cultures.

Findings:

  • The patient received potent antibiotics tailored to the culture and sensitivity results.
  • A sufficiently long duration of antibiotic treatment was administered.
  • The patient achieved a successful clinical cure despite the pathogen's high virulence.

Implications:

  • This case highlights the importance of timely and appropriate antibiotic selection for Serratia marcescens peritonitis.
  • Aggressive treatment can lead to favorable outcomes even in high-risk patients.
  • Effective management strategies are crucial for improving patient survival in peritoneal dialysis-related infections.

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