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A Case of Peritoneal Dialysis-Related Peritonitis Caused by Ewingella americana

Catarina Abrantes1, Joana Freitas2, Tânia Silva3

  • 1Nephrology Department, Setubal Hospital Center, Setubal, Portugal.

Case Reports in Infectious Diseases
|February 28, 2022
PubMed

Insights

Peritonitis from Ewingella americana, a rare pathogen, can occur in peritoneal dialysis (PD). This case highlights the need for awareness and management strategies for uncommon bacteria in PD patients.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Microbiology

Background:

  • Peritoneal dialysis (PD) is a common treatment for kidney failure.
  • PD-related peritonitis is a frequent complication, necessitating awareness of diverse causative pathogens.
  • Uncommon bacteria are increasingly recognized in PD practice, requiring specific management considerations.

Observation:

  • A case of peritonitis caused by Ewingella americana, a rare bacterium, in a patient undergoing peritoneal dialysis is presented.
  • Ewingella americana is an uncommon pathogen with limited documented cases in PD peritonitis.
  • This specific case resulted in a favorable outcome despite the rare etiology.

Findings:

  • The study reports a successful management of peritonitis due to Ewingella americana in a peritoneal dialysis patient.
  • This adds to the scarce existing literature on Ewingella americana as a cause of PD peritonitis.
  • The favorable outcome suggests potential treatment pathways for this rare infection.

Implications:

  • Increased awareness of Ewingella americana and other uncommon pathogens is crucial for PD units.
  • Further research is needed to understand the pathogenicity and optimal treatment of Ewingella americana in PD.
  • Sharing clinical experiences is vital for improving prevention and management strategies for PD-related peritonitis.

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